经尿道钬激光手术治疗尿道狭窄与闭锁

目的探讨钬激光尿道内切开治疗尿道狭窄与闭锁的疗效。方法总结52例经尿道钬激光手术治疗尿道狭窄与闭锁的经验。结果该组52例,手术治疗成功50例,占96.15%。其中一次手术成功41例(78.84%),二次手术6例,三次手术2例,四次手术1例。手术失败2例,占5.77%。失败原因为,狭窄段长、感染严重各1例。术后均定期进行尿道扩张。术后50例(96.15%)排尿通畅。37例随访4～28个月,平均18个月。37例术后3～12个月尿流率检查,最大尿流率13～36(17.2±8.9)mL/s,平均尿流率11～26(15.8±5.8)mL/s,其余病例未行尿流率检查。结论经尿道钬激光手术治疗尿道狭窄与闭锁是安全、有效的治疗方法。

Endoscopic holmium laser incision in treatment of urethral stricture or atresia

Objective] To evalate endoscopic holmium laser incision for urethral stricture or atresia. Methods] 52 patients with urethral stricture or atresia underwent endoscopic holmium laser incision. Some experience were summed up. Results] Of the 52 cases, the outcome was satisfactory in 50(96.15%), internal urethrotomy was carried out twice for 6 patients and thrice for 2 with successful out come, 37 patients had been followed up for 4~28 months, satisfactory voiding had been achieved. Conclusions] Holmium YAG laser is a safe and easy method for urethral stricture or atresia.