【摘要】 目的探讨腔内钬激光治疗尿道狭窄的疗效和安全性。方法对35例尿道狭窄的患者行腔内钬激光治疗,狭窄长度0.5～1.5cm,回顾性分析和总结该方法的疗效和操作要点。结果一次手术成功率33例占94.3%;二次手术2例占5.7%。8例需术后常规尿道扩张3～5周。所有患者拔出尿管后均能自行排尿。2例患者分别于拔出尿管后第3周和第6周后发生再狭窄,再次行腔内钬激光手术治愈。术后最大尿流率可达30ml/s。无周围脏器损伤、大出血、尿道瘘形成、尿失禁等并发症。随访2～15个月,排尿良好。结论钬激光尿道狭窄切除术是治疗尿道狭窄的安全、有效、微创的方法。更多还原

【Abstract】 Objective To evaluate the clinical effect and safety of holmium laser in the treatment of urethrostenosis. Methods Thirty five patients with urethrostenosis were treated by holmium laser in endourethral way,the stricture length ranged from 0.5 to 1.5cm. The therapeutic effects and operating skills were summarized and analyzed in retrospect. Results The operation of 35 cases were all carried out successfully. The successful rate achieved once was 94.3%(33/35),2 cases needed second operation in the same way,8 cases needed routine postoperative urethral sounding. Time ranged from 3 to 5 weeks. All patients could have self-micturition after removal of urinary catheter,and Qmax could reach 30ml/s. Two cases who had recurrent obstruction 3 and 6 weeks respectively after removal of urinary catheter needed second operation. No complications of peripheral organ injury, large blood loss, urethral fistula and postoperative incontinence appeared. Follow-up of 2-15 months was obtained, satisfactory voiding has been achieved. Conclusions Cut and resection of urethral stricture with holmium laser in endourethral way is a safe,effective and minimally invasive therapeutic technique.更多还原