肾镜联合输尿管镜治疗尿道狭窄

Nephroscope Combined With Ureteroscopy in Treatment of Urethral Stricture

目的 探讨肾镜联合输尿管镜治疗尿道狭窄的临床疗效。方法 在医院2014年10月~2015年7月诊治的尿道狭窄患者中抽取43例作研究对象,根据随机抽样法将其分为观察组（n=22）和对照组（n=21）,观察组应用肾镜联合输尿管镜治疗,对照组采取传统尿道扩张术治疗,对比两组患者术后尿流率以及并发症发生率。结果 观察组并发症发生率为9.09%,治疗后的最大尿流率为（17.89±3.16）ml/s;对照组并发症发生率为19.05%,治疗后的最大尿流率为（12.06±4.35）ml/s;两组患者的并发症发生率和最大尿流率的组间比较差异有统计学意义（P〈0.05）。结论 肾镜联合输尿管镜治疗尿道狭窄的临床疗效确切,其术后尿流率增加,且并发症少。

Objective To discuss the clinical effect of the treatment of urethral stricture by nephroscope combined with ureteroscopy. Methods From October 2014 to July 2015,43 patients with urethral stricture were selected as the research object. According to the random sampling method, the patients were divided into the observation group（n=22）and the control group（n=21）. The control group was treated with the traditional urethral dilation,and compared with the two groups of patients with postoperative urinary flow rate and the incidence of complications. Results The incidence of complications was 9.09%,the maximum urinary flow rate was（17.89±3.16） ml/s. The control group was 19.05%, the maximum flow rate was（12.06±4.35） ml/s. The complication rate and the maximum flow rate of the two groups were statistically significant（P〈0.05）. Conclusion The clinical effect of the treatment of urethral stricture with nephroscope combined with ureteroscopy is exact,and the postoperative urinary flow rate is increased,and the complications are few.