CAJ | 학술논문

目的：研究钬激光尿道内切开术联合肾筋膜扩张器治疗小儿尿道狭窄的疗效及安全性。方法对2010年6月~2013年1月收治的36例男性尿道狭窄患儿，行钬激光尿道内切开术联合肾筋膜扩张器治疗，记录狭窄复发率及尿失禁、尿外渗等并发症发生的情况，并行尿流率测定进行为期6～12个月的随访。结果患儿均手术顺利，无尿失禁、尿外渗等并发症，拔管后复查尿流率，均显著高于术前。结论钬激光尿道内切开术联合肾筋膜扩张器治疗小儿尿道狭窄具有安全、微创、术后复发率低等优点，是治疗小儿尿道狭窄的安全有效的方法之一。
목적：연구화격광뇨도내절개술연합신근막확장기치료소인뇨도협착적료효급안전성。방법대2010년6월~2013년1월수치적36례남성뇨도협착환인，행화격광뇨도내절개술연합신근막확장기치료，기록협착복발솔급뇨실금、뇨외삼등병발증발생적정황，병행뇨류솔측정진행위기6～12개월적수방。결과환인균수술순리，무뇨실금、뇨외삼등병발증，발관후복사뇨류솔，균현저고우술전。결론화격광뇨도내절개술연합신근막확장기치료소인뇨도협착구유안전、미창、술후복발솔저등우점，시치료소인뇨도협착적안전유효적방법지일。
Objective To study the clinical efficacy and safety of Holmium laser combined with renal sheath dilators in children urethral stricture. Methods From June 2010 to January 2013, 36 cases with urethral stricture were underwent holmium laser combined in our center with the renal sheath dilators.The complication were recorded including urinary incontinence, urinous infiltration and secondary hemorrhage,etc. The uroflowmetry was used to evaluate therapeutic outcomes, The follow-up time was 6 month to 12month. Results The surgery was successfully conducted in all cases and no complications were found in all cases. The flow rate were significantly higher than those in preoperation. Conclusion Holmium laser in combination with renal sheath dilators for children with urethral stricture is one of safe and effective minimally invasive therapeutic approaches.