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山东大学学报(医学版) ›› 2011, Vol. 49 ›› Issue (7): 129-131.

• 论文 • 上一篇    下一篇

膀胱尿道软镜联合绿激光治疗前列腺增生术后后尿道狭窄与闭锁

张栋,金讯波,孙鹏,李鹏,尉春晓,袁航,张琦   

  1. 山东大学附属省立医院泌尿微创医学中心, 济南  250021
  • 收稿日期:2011-01-17 出版日期:2011-07-10 发布日期:2011-07-10
  • 通讯作者: 金讯波(1957- ),男,博士生导师,主要从事泌尿外科疾病的微创治疗研究。 Emai:jinxunbo@163.com
  • 作者简介:张栋(1984- ),男,硕士研究生,主要从事尿道狭窄微创治疗的研究。

Application of green light laser combined with electron flexible cystoscope to posterior urethral stricture and obliteration after surgical treatment of prostate hyperplasia

ZHANG Dong, JIN Xun-bo, SUN Peng, LI Peng, WEI Chun-xiao, YUAN Hang, ZHANG Qi   

  1. Department of Minimally Invasive Urology Center, Provincial Hospital Affiliated to Shandong University, Jinan 250021, China
  • Received:2011-01-17 Online:2011-07-10 Published:2011-07-10

摘要:

目的     探讨膀胱尿道软镜联合绿激光治疗前列腺增生术后后尿道狭窄与闭锁的临床疗效。方法      使用绿激光对经膀胱尿道软镜检查明确诊断的前列腺增生术后后尿道狭窄或闭锁的患者19例,行经尿道狭窄段或闭锁段绿激光汽化术。其中前列腺摘除术后后尿道狭窄10例,经尿道前列腺电切手术后9例。术后留置尿管1周~1个月。结果      19例患者手术均一次性成功,手术时间25~90min,平均67min,随访6~18个月,16例患者一次治愈或术后仅需2~3次尿道扩张后治愈,其余3例患者经多次定期尿道扩张后4~8个月内治愈。无尿失禁患者出现。结论       膀胱尿道软镜联合绿激光治疗前列腺增生术后后尿道狭窄与闭锁安全有效。

关键词: 前列腺增生;尿道狭窄;尿道闭锁;激光;膀胱尿道软镜

Abstract:

Objective      To investigate the effect of green light laser combined with electron flexible cystoscope on posterior urethral stricture and obliteration after surgical treatment of prostate hyperplasia. Methods      The green light laser was applied to trea 19 patients with iatrogenic posterior urethral stricture or obliteration who were examined by an electron flexible cystoscope. Of them, 10 underwent prostatectomy, and 9 underwent transurethral resection of the prostate. After operation, the in-dwelling urethral catheter time was 1 week to 1 month. Results        All surgeries were successful without serious complications. Mean operative time was 67min (range, 25-90 min). During a follow-up of 618 months, 16 cases acquired satisfactory outcomes or were cured after 2-3 urethral dilations, and the other 3 cases were successfully treated after regular urethral dilation for 4-8 months. No case had incontinence. Conclusion       It is safe and effective to apply green light laser combined with electron flexible cystoscope to posterior urethral stricture and obliteration after surgical treatment of prostate hyperplasia.

Key words: Prostate hyperplasia; Urethral stricture; Urethral obliteration; Laser; Electron flexible cystoscope

中图分类号: 

  • R697.32
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