450 nm半导体蓝激光气化术联合曲安奈德激素注射治疗膀胱颈挛缩1例报告  

450 nm semiconductor blue laser vaporization combined with triamcinolone acetonide injection in the treatment of bladder neck contracture:a case report

作　　者：何宇 刘书琛 邹志辉 梁朝朝[3] HE Yu;LIU Shuchen;ZOU Zhihui;LIANG Chaozhao(The Second Clinical College of Medicine,Anhui Medical University,Hefei 230033;The First Clinical College of Medicine,Anhui Medical University,Hefei 230033;Department of Urology,The First Affiliated Hospital of Anhui Medical University,Institute of Urology of Anhui Medical University,Key Laboratory of Genitourinary System Diseases of Anhui Province,Clinical Medical Research Center of Urinary System Diseases of Anhui Province,Hefei 230022,China)

机构地区：[1]安徽医科大学第二临床医学院,安徽合肥230033 [2]安徽医科大学第一临床医学院,安徽合肥230033 [3]安徽医科大学第一附属医院泌尿外科,安徽医科大学泌尿外科研究所,泌尿生殖系统疾病安徽省重点实验室,安徽省泌尿系统疾病临床医学研究中心,安徽合肥230022

出　　处：《现代泌尿外科杂志》2023年第9期748-750,共3页Journal of Modern Urology

基　　金：安徽省第六批卫生健康适宜技术推广项目(No.SYJS202110);安徽医科大学校科研基金项目(No.2020xkj189);安徽医科大学第一附属医院临床研究项目(No.PJ2018-13-23)。

摘　　要：目的创新性使用450 nm半导体蓝激光联合曲安奈德激素注射治疗膀胱颈挛缩(BNC),评估该治疗方案的有效性和安全性。方法对安徽医科大学第一附属医院的1例61岁男性BNC患者行450 nm半导体蓝激光气化术联合曲安奈德激素注射治疗,患者同时合并有尿道狭窄,手术通过一种F22的小口径激光电切镜操作完成,报告术后3个月随访结果。结果手术顺利,手术时间30 min,患者术后第2天出院。术后3个月随访结果:患者最大尿流率(Qmax)为22.1 mL/s,术后国际前列腺症状评分(IPSS)为2分,生活质量指数(QoL)评分为0分,无BNC及尿道狭窄复发。结论450 nm半导体蓝激光联合曲安奈德激素注射治疗BNC安全可行,通过F22的小口径激光电切镜操作同样安全可行,并对合并尿道狭窄的患者尤显必要。术后3个月的短期随访结果满意。Objective To evaluate the efficacy and safety of 450 nm semiconductor blue laser combined with triamcinolone acetonide injection in the treatment of bladder neck contracture(BNC).Methods A 61-year-old male patient with BNC and urethral stricture was treated with 450 nm semiconductor blue laser vaporization combined with triamcinolone acetonide injection.The surgery was performed with a small-caliber laser resectoscope of F22.The follow-up results 3 months after surgery were reported.Results The operation was successful,the operation time was 30 minutes,and the patient was discharged the next day after operation.Follow-up 3 months after operation showed the maximum urinary flow rate(Qmax)was 22.1 mL/s,the International Prostate Symptom Score(IPSS)was 2,the Quality of Life Scale(QoL)was 0,and no recurrence was observed.Conclusion It is safe and feasible to use 450 nm semiconductor blue laser combined with triamcinolone acetonide injection to treat bladder neck contracture through a small-caliber laser resectoscope of F22,especially for patients with urethral stricture.The short-term efficacy is satisfactory.

关 键 词：膀胱颈挛缩 经尿道手术 小口径激光电切镜 蓝激光气化术 曲安奈德 

分 类 号：R694.2[医药卫生—泌尿科学]