中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2008年
18期
1270-1272
,共3页
郭丰富%卢华%王广健%谭善峰%何相飞%王健明
郭豐富%盧華%王廣健%譚善峰%何相飛%王健明
곽봉부%로화%왕엄건%담선봉%하상비%왕건명
激光%尿道狭窄%尿道闭锁
激光%尿道狹窄%尿道閉鎖
격광%뇨도협착%뇨도폐쇄
Laser%Urethral stricture%Urethral atresia
目的 观察铥激光(2μm激光)尿道内切开治疗尿道狭窄及闭锁的疗效.方法 随访192例尿道狭窄或闭锁并经铥激光内切开治疗患者,测定术后拔尿管时、术后3个月及术后6个月最大尿流率(MFR)并与术前作统计学比较.结果 所有患者术后拔尿管时均能自主排尿,平均MFR(16.7±3.1)ml/s,与术前[(3.2±0.3)ml/s]比较差异均有统计学意义(均P<0.01).其中157例一次手术治愈,无复发;35例拔尿管后1～3周复发,经定期尿道扩张后全部能正常排尿;6例术后尿失禁患者经理疗及训练后恢复正常.所有患者术后3个月平均MFR(18.7±3.1)ml/s,术后6个月为(19.2±2.8)ml/s,与术前比较差异均有统计学意义(均P<0.01).结论 经尿道铥激光尿道狭窄内切开术是治疗尿道狭窄及闭锁的安全有效的方法.
目的 觀察銩激光(2μm激光)尿道內切開治療尿道狹窄及閉鎖的療效.方法 隨訪192例尿道狹窄或閉鎖併經銩激光內切開治療患者,測定術後拔尿管時、術後3箇月及術後6箇月最大尿流率(MFR)併與術前作統計學比較.結果 所有患者術後拔尿管時均能自主排尿,平均MFR(16.7±3.1)ml/s,與術前[(3.2±0.3)ml/s]比較差異均有統計學意義(均P<0.01).其中157例一次手術治愈,無複髮;35例拔尿管後1～3週複髮,經定期尿道擴張後全部能正常排尿;6例術後尿失禁患者經理療及訓練後恢複正常.所有患者術後3箇月平均MFR(18.7±3.1)ml/s,術後6箇月為(19.2±2.8)ml/s,與術前比較差異均有統計學意義(均P<0.01).結論 經尿道銩激光尿道狹窄內切開術是治療尿道狹窄及閉鎖的安全有效的方法.
목적 관찰주격광(2μm격광)뇨도내절개치료뇨도협착급폐쇄적료효.방법 수방192례뇨도협착혹폐쇄병경주격광내절개치료환자,측정술후발뇨관시、술후3개월급술후6개월최대뇨류솔(MFR)병여술전작통계학비교.결과 소유환자술후발뇨관시균능자주배뇨,평균MFR(16.7±3.1)ml/s,여술전[(3.2±0.3)ml/s]비교차이균유통계학의의(균P<0.01).기중157례일차수술치유,무복발;35례발뇨관후1～3주복발,경정기뇨도확장후전부능정상배뇨;6례술후뇨실금환자경리료급훈련후회복정상.소유환자술후3개월평균MFR(18.7±3.1)ml/s,술후6개월위(19.2±2.8)ml/s,여술전비교차이균유통계학의의(균P<0.01).결론 경뇨도주격광뇨도협착내절개술시치료뇨도협착급폐쇄적안전유효적방법.
Objective To evaluate the curative efficacy of transurethral 2 μm thulium laser urethrotomy in the treatment of urethral stricture and atresia. Methods 192 patients suffering from urethral stricture ( n = 179) or atresia ( n = 13 ), all male, aged 45.4 (38 - 56 ), underwent transurethral 2 μm thulium laser urethrotomy. The maximum flow rate (MFR) was measured before operation, immediately after removing the catheter, and 3 and 6 months postoperatively. Results All the patients got fluent urination immediately after the catheter removal with the mean MFR of ( 16.7 ± 3.1 ) ml/s, significantly higher than that before the operation [ ( 3.2 ± 0. 3 ) ml/s, P ＜ 0. 01 ]. 157 patients got permanent fluent urination without recurrence; 35 patients got recurrence 1 to 3 weeks after the catheter removal and got final cure 3 months later after periodic urethra dilatation. Besides, 6 patients encountered incontinence and all finally got convalescence after physical therapy and exercise. The mean MFR of all the patients 3 months and 6 months postoperatively were ( 18.7 ± 3.1 ) ml/s and ( 19.2 ± 2.8) ml/s respectively, both significantly higher than that before operation ( both P ＜0. 01 ). Conclusion Transurethral 2 μm thulium laser urethrotomy is a safe and efficient method in the treatment of urethral stricture and atresia.
