[1]唐雪鸿,刘刚.双窥镜法联合钬激光内切开术治疗严重尿道狭窄疗效观察[J].中华腔镜泌尿外科杂志(电子版),2009,(06):529-531.
 TANG Xue-hong,LIU Gang.Antegrade-retrograde endoscopic urethrotomy with holmium laser for treatment of obliterative urethral stricture[J].,2009,(06):529-531.
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双窥镜法联合钬激光内切开术治疗严重尿道狭窄疗效观察()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2009年06期
页码:
529-531
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Antegrade-retrograde endoscopic urethrotomy with holmium laser for treatment of obliterative urethral stricture
作者:
唐雪鸿刘刚
武警上海总队医院泌尿外科,上海,201103
Author(s):
TANG Xue-hongLIU Gang
关键词:
双窥镜法钬激光尿道狭窄
摘要:
目的 观察双窥镜法联合钬激光内切开术治疗严重尿道狭窄的初期疗效.方法 2005年5月至2009年4月,应用双窥镜法联合钬激光内切开术治疗8例尿道狭窄或尿道闭锁,狭窄段长度0.8~2.5 cm. 结果 8例患者均尝试逆行内切开术均无法通过狭窄段,应用双窥镜法联合钬激光内切开术治疗均获成功,术后留置尿管4~6周,拔管后均排尿通畅,无尿失禁.8例患者中7例获随访6~24个月(平均18个月),其中2例患者无需任何后续治疗,3例需行6~16次尿道扩张(平均11次)以维持正常排尿;2例术后3及4个月再次因尿道狭窄行开放手术治疗. 结论双窥镜法联合钬激光内切开术治疗尿道狭窄提高了一期腔内手术的成功率,可作为严重尿道狭窄、尿道闭锁患者的可选微创治疗术式.该术式早期疗效良好,但远期效果不尽满意尚待长期观察.

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更新日期/Last Update: 1900-01-01