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目的探讨钬激光联合等离子体双极电切术治疗男性尿道狭窄的临床疗效。方法选取2009年10月至2013年6月的33例男性尿道狭窄患者,采用钬激光联合等离子体双极电切术治疗。结果 33例患者手术均成功,手术时间25~60 min,术中视野清晰,无明显出血、尿道穿孔,术后无尿瘘及尿失禁,拔除导尿管后排尿通畅,排尿困难均消失。术后观察随访6~24个月,平均约12个月,最大尿流率14~21 ml/s,膀胱残余尿量0~30 ml。结论钬激光联合等离子体双极电切术治疗男性尿道狭窄具有安全、有效、微创和并发症少等优点。
Objective To investigate the clinical efficacy of holmium laser combined with plasma bipolar resection in treatment of male urethral stricture. Methods Thirty-three male patients with urethral stricture from October 2009 to June 2013 were treated with holmium laser and plasma bipolar grafting. Results All the 33 cases were operated successfully. The operative time was 25-60 minutes. The intraoperative visual field was clear with no obvious hemorrhage, perforation of the urethra, no urinary fistula and incontinence after operation. The urination was cleared after the removal of the catheter and the dysuria disappeared. Postoperative follow-up 6 to 24 months, an average of about 12 months, the maximum flow rate of 14 to 21 ml / s, the residual urine volume of 0 to 30 ml. Conclusions Holmium laser combined with plasma bipolar resection for the treatment of male urethral stricture is safe, effective, minimally invasive and less complications.