Transureteroscopic holmium laser technology in urethral stricture
10.3760/cma.j.issn.1008-6706.2015.01.030
- VernacularTitle:输尿管镜下钬激光技术治疗尿道狭窄的效果观察
- Author:
Ning CHI
- Publication Type:Journal Article
- Keywords:
Urethral stricture;
Laser
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;22(1):88-90
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study transureteroscopic holmium laser technology in urethral stricture.Methods 68 patients with urethral stricture were randomly divided into the two groups,the observation group (n =34 cases) and the control group (n =34 cases).The patients in the observation group were operated through transureteroscopic holmium laser technology,while the patients in the control group were operated through cold knife urethrotomy technology.The operation time,blood loss,hospital stay,maximum urinary flow rate,urinary extravasation,secondary bleeding,rectal injury,recurrence and reoperation were observaed.Results The operative time was longer in the control group [(31.24 ± 9.71) min vs (22.37 ± 9.22) min] (t =3.914,P ＜ 0.05).The blood loss,hospital stay in the observation group were less than these in the control group[(13.28 ± 5.24)mL,(4.06 ± 1.16)d vs (28.31 ± 7.19) mL,(5.92 ± 1.71) d)] (t =4.091,2.776,all P ＜ 0.05).After treatment,patients have a significantly increased maximum urinary flow rate (t =5.163,9.772,P ＜ 0.05,P ＜ 0.01),and compared with the control group after treatment,the observation group was significantly more improved Qmax (t =4.291,P ＜ 0.05).Postoperative control group of 12 patients developed complications,the incidence was 35.3％.The observation group had complications occurred in 2 patients,the rate was 5.9％.The incidence of complications in the observation group was significantly less than the control group (x2 =7.240,P ＜ 0.05).Patients were followed up for 1 year,and the recurrence rate in the control group(16％,11％) were significantly higher than those in the observation group (4％,1％) (x2 =11.290,13.860,all P ＜ 0.01).Conclusion Transureteroscopic holmium laser technology had a significant effect,fewer complications,a low incidence of recurrence and surgery in patients with urethral stricture.
