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目的评价输尿管镜钬激光与冷刀内切开联合电切治疗男性尿道狭窄的疗效。方法回顾性分析81例经尿道冷刀内切开联合电切治疗(Ⅰ组)和52例输尿管镜钬激光治疗(Ⅱ组)的临床资料,比较两组在手术时间、出血量、术后住院日、术后最大尿流率(Qmax)、术后尿道扩张时间及治愈率等指标的差异。结果随访1~8年,两组术后住院日差异无统计学意义(P>0.05),但Ⅱ组在手术时间、出血量、术后Qmax、术后尿道扩张时间、治愈率方面较Ⅰ组具有明显优势(P<0.05或P<0.01)。结论输尿管镜钬激光治疗男性尿道狭窄疗效优于经尿道冷刀内切开联合电切术。
Objective To evaluate the efficacy of ureteroscopic holmium laser and cold knife incision combined with electrotomy for treatment of male urethral stricture. Methods A retrospective analysis of 81 cases of transurethral resection of cold knife combined with electrotomy (Ⅰ group) and 52 cases of ureteroscopic holmium laser treatment (Ⅱ group) of the clinical data were compared between the two groups in operation time, blood loss, postoperative hospitalization Day, postoperative maximum flow rate (Qmax), postoperative urethral dilatation time and cure rate and other indicators of difference. Results There were no significant differences in postoperative hospitalization days between the two groups (P> 0.05), but the operative time, blood loss, postoperative Qmax, postoperative urethral dilatation time and cure rate in group Ⅱ were significantly higher than those in group Ⅰ Had obvious advantages (P <0.05 or P <0.01). Conclusions Ureteroscopic holmium laser treatment of male urethral stricture is superior to transurethral cold knife incision combined with resection.