输尿管镜下钬激光治疗尿道狭窄的临床分析

The Clinical Analysis of Ureteroscopy with Holmium Laser in Treatment of Urethral Stricture

目的：分析输尿管镜下钬激光治疗尿道狭窄的临床效果。方法搜集2013年9月～2014年9月我院接收的尿道狭窄36例患者，按照不同治疗方法分为对照组（输尿管镜下筋膜扩张治疗）与参照组（输尿管镜下钬激光治疗）。观察对照组与参照组的治疗效果，并比较。结果与对照组相比，参照组术中出血量较少，手术时间和住院天数较短，尿道扩张次数较少，并发症的发生率较低，有明显差异，有统计学意义（P〈0.05）。结论输尿管镜下钬激光治疗尿道狭窄的临床效果较好，优势显著，值得推广。

Objective The clinical efficacy of ureteroscopy with holmium laser in treatment of urethral stricture is to be analyzed. Methods Choose 36 urethral stricture patients who are treated in hospital from September 2013 to September 2014 and separate them into control group（ureteroscopic fascia dilatation treatment）and study group（ureteroscopy with holmium laser treatment）according to different treatment approaches; and then observe and compare the surgical treatment efficacy of the two groups. Results Compared to control group,the amount of bleeding,surgery time and hospitalization days of patients in study group are much less,and in addition,patients’urethral dilation times and complication incidence are less in study group;there is a treatment differential between the two groups,and such a differential has statistic value（P〈0.05）. Conclusion Ureteroscopy with holmium laser is of efficiency in treatment of urethral stricture with efficacy and advantages;therefore,it is quite worthwhile to be promoted and applied clinical y.