钬激光尿道内切开治疗后尿道狭窄和闭锁疗效观察(附32例报告)

目的：探讨钬激光尿道内切开治疗后尿道狭窄和闭锁的疗效。方法：对32例后尿道狭窄和闭锁患者采用膀胱截石位，于3、9、12点处作放射状钬激光(1．5J，10Hz)内切开治疗，并修整尿道内面，使管腔光滑。遇尿道闭锁时，先采用会师术。结果：一次手术成功率100％，无尿失禁。27例患者获得随访，1年满意者23例(85．1％)，2年满意者18例(66.6％)。结论：采用钬激光尿道内切开治疗后尿道狭窄和闭锁是一种有效手段。

Efficacy of Holmium:YAG direct vision internal urethrotomy for posterior-urethral stricture and atresia

Objective:To evaluate the efficiency of Holmium: YAG direct vision internal urethrotomy for posterior-urethral stricture and atresia.Methods:With Holmium: YAG( 1.5 J, 10 Hz)direct incision the stricture at 3 or 9 and 12 o'clock sites , 32 men with posterior-urethral stricture and atresia were treated through transurethral endoscopy. Open urethral reconstruction was necessary for the posterior-urethral atresia.Results:The operation was performed successfully for the first time in all patients , with no case of urinary incontinence. Twenty-seven patients were followed-up for 3 to 24 months. The successful cure rate was 85.1%(1 year)and 66.6%(2 year),respectively.Conclusions:Holmium: YAG direct vision internal urethrotomy is a safe and effective therapy for posterior-urethral stricture and atresia.