腔内球囊扩张术治疗输尿管狭窄的临床观察

Clinical efficacy of intraluminal balloon dilatation in treatment of ureteral stricture

目的:探讨腔内球囊扩张术治疗输尿管狭窄(US)的临床疗效。方法:收集2016年6月至2018年9月本院收治的US患者44例,按手术方式不同分为对照组(n=22)与研究组(n=22),分别行开放手术治疗和腔内球囊扩张术治疗,比较两组的治疗结果。结果:研究组手术时间、进食时间、住院时间较对照组显著缩短,术中出血量较对照组减少(均P<0.05)。术前两组狭窄直径差异无统计学意义(P>0.05);术后研究组狭窄直径较对照组增加,视觉模拟评分(VAS)低于对照组(均P<0.05)。研究组治疗总有效率显著高于对照组,并发症发生率显著低于对照组(均P<0.05)。结论:腔内球囊扩张术治疗US临床疗效较好。

Objective:To investigate the clinical efficacy of intraluminal balloon dilation in the treatment of ureteral stricture(US).Methods:Forty-four US patients admitted to our hospital between June 2016 and September 2018 were included in the study.All patients were divided into the control group(n=22)and study group(n=22)according to different surgical methods.The two groups were treated with open surgery and intraluminal balloon dilation,respectively,and the treatment outcomes in the two groups were compared.Results:The operation time,time to oral feeding and length of hospital stay significantly decreased in the study group compared with those in the control group,and so did the intraoperative blood loss(both P<0.05).There was no statistically significant difference in the preoperative diameter of stricture segment between the two groups(P>0.05).After the operation,the diameter of stricture segment in the study group increased,whereas the visual analogue scale(VAS)score was lower compared with the control group(both P<0.05).The total effective rate in the study group was significantly higher,whereas the incidence of complication was significantly lower compared with the control group(both P<0.05).Conclusion:Intraluminal balloon dilatation is effective in the clinical treatment of US.