经输尿管镜钬激光联合球囊扩张器治疗尿道狭窄  

Holmium laser internal urethrotomy with balloon dilation under ureteroscope for urethral stricture

作　　者：刘红军[1] 康永胜[1] 唐云峰[1] 李华强[1] 冼晓晖 林德进 谢斌[1] 周绍华[1] 梁羽[1] 

机构地区：[1]廉江市人民医院泌尿外科,广东廉江524400

出　　处：《岭南现代临床外科》2016年第3期334-337,共4页Lingnan Modern Clinics in Surgery

摘　　要：目的研究直视下钬激光尿道内切开并球囊扩张治疗尿道狭窄的疗效。方法2013年6月至2014年12月,共收治36例尿道狭窄患者,术前详询病史、体检、行尿流率测定及逆行尿道造影,所有病人在尿道狭窄处行直视下钬激光尿道内切开和球囊扩张,术后留置16~18Fr硅胶尿管7~21天,所有病人术后随访6~12个月,随访期间测定尿流率,必要时每3个月进行尿道逆行造影或排泄性尿路造影。结果第一次术后治愈30例,总体成功率为83.4%。6例再狭窄和狭窄并尿瘘。结论直视下钬激光尿道内切开联合球囊扩张是治疗尿道狭窄安全有效的微创方法。Objective To study the efficacy of optical internal urethrotomy with Holmium laser and balloon dilation in the treatment of urethral stricture. Methods From June 2013 to December2014,.a total of 36 patients with symptomatic urethral stricture were evaluated with clinical history,physical examination,.uroflowmetry,.and retrograde urethrogram preoperatively..All patients were treated with optical internal urethrotomy followed by balloon dilation at the urethrotomy site..An indwelling 16-18 Fr silicone catheter was left in place for a period of 7-21 days..All patients were followed up for 6-12 months postoperatively with symptoms, uroflowmetry, and retrograde urethrogram and micturating urethrogram every 3 months if indicated. Results The overall success rate after first OIU（optical internal urethorotomy）（30 out of 36 patients） was 83.4%. Urethral restenosis occurred in 6 cases. Conclusion Optical internal urethorotomy by Holmium laser with balloon dilation is a safe and effective minimally invasive therapeutic modality for urethral strictures.

关 键 词：尿道狭窄 尿道内切开 钬激光 球囊扩张 输尿管镜 

分 类 号：R693.2[医药卫生—泌尿科学]