输尿管镜下钬激光内切开联合球囊扩张术治疗输尿管狭窄的研究  

Research of Holmium Laser Incision Combine With Balloon Dilatation in Treatment of Ureterostenosis Under Ureteroscope

作　　者：李小辉[1] 魏澎涛[1] 韩兴涛[1] 张寒[1] 霍庆祥[1] 

机构地区：[1]郑州大学附属洛阳中心医院泌尿外科,河南洛阳471000

出　　处：《中国继续医学教育》2016年第10期53-54,共2页China Continuing Medical Education

摘　　要：目的探讨输尿管镜下钬激光内切开联合球囊扩张术治疗输尿管狭窄临床应用安全性及效果。方法选择我院2013年6月~2015年12月收治72例输尿管狭窄患者,分成研究组和对照组,各36例,研究组给予输尿管镜下钬激光内切开联合球囊扩张术,对照组接受传统开放性手术。结果术后随访6~12个月,研究组与对照组手术治疗成功率分别为91.67%和88.89%（P〉0.05）;研究组术后并发症发生率低于对照组（P〈0.05）。结论输尿管狭窄患者经输尿管镜下钬激光内切开联合球囊扩张术治疗可获得满意疗效及预后,有利于保障患者生活质量。Objective To explore the clinical efficacy and safety of ureteroscopic holmium laser incision combined with balloon dilatation in the treatment of ureterostenosis.Methods Selected 72 patients with ureterostenosis from June 2013 to December 2015 in our hospital,which were randomly divided into study group and control group,each grou had 36 cases,study group received ureteroscopic holmium laser incision combined with balloon dilatation,while the control group received traditional open surgery.Operation time,estimated blood loss,time of hospital stay and complication were evaluated.Symptomatic and radiologic results were analyzed in follow-up period.Results During a followup period of 6 to 12 months,success rate of two surgical treatment were 91.67% and 88.89%（P〈0.05）,The postoperative complication rate of study group was significantly lower than control group（P〈0.05）.Conclusion Ureteroscopic holmium laser incision combined with balloon dilatation is safe and efficient for patients with ureteral stenosis.And it is mini-invasive access to improve the quality of life of patients.

关 键 词：输尿管狭窄 输尿管镜下钬激光内切开术 球囊扩张术 治疗效果 

分 类 号：R61[医药卫生—外科学]