CO_2激光治疗尿道肉阜985例临床资料分析

Clinical analysis of 985 female cases with urethral caruncle treated by carbon dioxide laser

目的:观察CO2激光治疗中老年妇女尿道肉阜的效果,明确该疗法术中、术后的优点。方法:对我院门诊2006年1月至2012年12月就诊的985例尿道肉阜患者局麻下采用CO2激光切除术,术后随访12个月,分析CO2激光首次治愈率、复发率和再次治疗效果。结果:CO2激光治疗的985例尿道肉阜患者中治疗后失访58例,其余927例首次治愈917例,首次治愈率98.9%,首次治疗后复发10例(复发率1.1%)接受2次治疗,2次激光治疗后全部治愈,无复发。结论:CO2激光治疗尿道肉阜具有术中操作简便、痛苦小,术后不需导尿、无感染及治愈率高的优点。

Objective：the aim of this study was observe the effect of carbon dioxide （CO2） laser treatment in fe-male patients with urethral caruncle. Methods：985 female cases with urethral caruncle from out-patient department of our hospital were treated between January 2006 and December 2012 by CO2 laser and followed up 12 months af-ter laser therapy. Results：Analysis was carried out in 927 female patients who underwent CO2 laser treatment for ure-thral caruncle and completed the 12-month follow-up. In these patients, 917 cases were cured after CO2 laser therapy with a cure rate of 98.9%and recurrence rate of 1.1%. Second laser surgery was carried out in 10 patients with recur-rent, and no relapse was found within another 12-month follow-up. Conclusion：Treatment of urethral caruncle using CO2 laser has high curative rate and low recurrence rate, and more comfortable during and after surgery.