经尿道输尿管镜下2μm激光汽化切除术治疗小儿后尿道瓣膜症  

Transurethral 2μm laser vaporesection for treatment of posterior urethral valves by ureteroscopy in pediatrics

作　　者：韩刚[1] 张军勇[1] 杨斌[2] 连文峰[3] 陈宇东[1] 王领军[1] 王志鹏[1] 王强[1] 史建国[1] 刘同伟[1] 殷晓松[1] 苑海波[1] 白旭青[1] 乔刚[1] 张倩[1] 

机构地区：[1]解放军第252医院泌尿外科,河北保定071000 [2]保定市儿童医院泌尿外科,河北保定071000 [3]保定市第一中心医院泌尿外科,河北保定071000

出　　处：《解放军医学院学报》2015年第11期1096-1098,共3页Academic Journal of Chinese PLA Medical School

基　　金：解放军第252医院院管课题基金资助项目(YY2012-12;2014252YY01)

摘　　要：目的探讨经尿道输尿管镜下2μm激光汽化切除术治疗小儿后尿道瓣膜症的临床效果。方法对2011年3月-2014年12月在解放军第252医院接受经尿道输尿管镜下2μm激光汽化切除术治疗的27例小儿后尿道瓣膜症进行回顾性分析。本组病例均为男性,年龄(5.0±2.9)岁。采用F 8/9.8输尿管镜和2μm激光手术系统,在尿道的5点、7点处切开后尿道瓣膜,并将残余瓣膜汽化切除,术后1个月、3个月及6个月随访,观察其临床效果。结果全部病例顺利完成手术,随访治疗期间25例病情明显好转,单次手术成功率92.6%(25/27);1例瓣膜残余,经二次手术病情好转;1例失访。结论应用经尿道输尿管镜下2μm激光汽化切除术治疗小儿后尿道瓣膜症出血少、围术期安全性高、操作简便,是较为理想的微创手术方法。Objective To explore the efficacy of 2μm laser vaporesection in treating pediatric posterior urethral valves（PUVs） by ureterscopy. Methods A total of 27 cases with PUVs who received 2μm laser vaporesections were reviewed. All patients were male with a mean age of（5.0±2.9） years. The clinical efficacy was reviewed. Under monitoring by F8/9.8 ureteroscopy, incisions were carried at 5 and 7 o＇clock positions of PUVs, and then remnant valves were evaporated by 2μm laser. Routine follow-ups were conducted at the 1st, 3rd, and 6th months. Results All operations were successfully performed. Of the 27 cases, 25 cases got satisfied results during follow-uP〈0with successful operation rate of 92.6%（25/27）. 1 case received re-operation, and 1 case lost follow-up. Conclusion Transurethral 2μm laser vaporesection by ureteroscopy is a superior micro-invasive surgery method for pediatrics with posterior urethral valves, with little blood loss, high safety, convenient operation and infrequent complications.

关 键 词：激光 后尿道瓣膜 儿童 输尿管镜 

分 类 号：R695[医药卫生—泌尿科学]