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目的探讨两种泌尿道腔镜(输尿管硬镜、输尿管软镜或膀胱软镜)联合钬激光治疗后尿道狭窄的临床疗效及价值。方法回顾采用两种腔镜,分别从尿道及膀胱造瘘口置入输尿管硬镜、输尿管软镜或膀胱软镜,并联合钬激光治疗后尿道狭窄或闭锁患者29例,对其临床资料进行分析和总结。结果本组患者29例,27例获手术成功;2例因闭锁段过长(>2cm),中转开放手术,手术时间短,患者排尿通畅,无严重并发症。结论双镜联合钬激光治疗后尿道狭窄是一种简单、有效的治疗方式,其近期的治疗效果是明显的,值得临床推广,但在临床工作中还必须根据患者具体情况谨慎选择。
Objective To investigate the clinical efficacy and value of two kinds of urinary tract endoscopy (ureteroscopic, ureteroscopic or bladder soft mirror) combined with holmium laser treatment of urethral stricture. Methods Two kinds of endoscopy were used to retrospectively analyze the clinical data of 29 patients with urethral stricture or atresia treated with ureteroscope, ureteroscope or bladder soft-lens from urethra and cystostomy respectively. And concluded. Results The group of 29 patients, 27 patients were successful; 2 patients due to the locking block is too long (> 2cm), the transfer of open surgery, short operative time, patients with voiding, no serious complications. Conclusions Double urethral laser combined with holmium laser treatment of urethral stricture is a simple and effective treatment, the recent treatment is obvious and worthy of clinical promotion, but in clinical work must be carefully selected according to the specific circumstances of patients.