【摘要】 目的探讨2μm连续波激光治疗尿道狭窄及闭锁的安全性和有效性。方法我院2010年1月~2013年8月使用2μm连续波激光治疗15例尿道狭窄和3例尿道闭锁。激光切割镜直视下进入尿道狭窄处,2μm连续波激光对狭窄处尿道进行切开,切开满意后使用尿道探子从细到粗逐号扩张尿道,然后留置尿管1根。结果 18例手术均获成功,无并发症发生。手术时间20~90 min,平均40 min。术中出血量5~20 ml,平均10 ml。留置导尿管4周,所有患者拔除尿管后全部排尿通畅。15例随访2~36个月,平均12个月,5例拔管后逐渐出现尿线变细,经定期尿道扩张后好转。结论 2μm连续波激光治疗尿道狭窄及闭锁安全有效,可在临床中推广使用。更多还原

【Abstract】 Objective To study the efficacy and safety of 2- μm continuous-wave thulium laser for the treatment of urethral stricture and urethratresia. Methods Fifteen patients with urethral stricture and 3 patients with urethratresia underwent 2-μm continuous-wave thulium laser treatment from January 2010 to August 2013. The laser cystoscopy was placed into the urethra and 2-μm continuous-wave thulium laser was used to resect the urethral stenosis. Then urethral dilator was used to dilate the urethral stenosis,and finally a catheter was indwelled. Results All the operations were carried out successfully without complications. The operation time was 20- 90 min( mean,40 min); blood loss was 5- 20 ml( mean,10 ml). Catheter retention for all the patients lasted for 4 weeks and urethra was unobstructed after the catheter was removed. Fifteen patients were followed up for 2 to 36 months( mean,12 months). Urinary stream was getting weaker after removal of the catheter in five cases and improved after urethral dilatation. Conclusion The 2-μm continuous-wave thulium laser is safe and effective for the treatment of urethral stricture and urethratresia.更多还原