中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
26期
60-61,64
,共3页
输尿管狭窄%输尿管镜%电极内切术%钬激光切开术
輸尿管狹窄%輸尿管鏡%電極內切術%鈥激光切開術
수뇨관협착%수뇨관경%전겁내절술%화격광절개술
Ureterostenosis%Ureteroscope%Incision with electrode%Incision of holmium:YAG laser
目的：探讨经输尿管镜针状电极内切术与钬激光切开术治疗输尿管狭窄的临床效果。方法选取2011年1月~2013年12月本院收治的120例输尿管狭窄患者为研究对象，采用随机分组法分为两组，对照组60例采用钬激光切开术治疗，观察组60例采用经输尿管镜针状电极内切术治疗，比较两组患者的疗效、输尿管穿孔以及并发症情况。结果观察组患者的总有效率为95.0%，显著高于对照组的85.0%，差异有统计学意义(P<0.05)；观察组患者2例出现输尿管穿孔，发生率为3.3%，术后并发症发生率为11.7%，对照组患者6例出现输尿管穿孔，发生率为10.0%，术后并发症发生率为33.3%，观察组患者的并发症发生率显著低于对照组，差异有统计学意义(P<0.05)。结论经输尿管镜针状电极内切术治疗输尿管狭窄的效果显著，在疗效及安全性方面均显著优于钬激光切开术，值得在临床推广应用。
目的：探討經輸尿管鏡針狀電極內切術與鈥激光切開術治療輸尿管狹窄的臨床效果。方法選取2011年1月~2013年12月本院收治的120例輸尿管狹窄患者為研究對象，採用隨機分組法分為兩組，對照組60例採用鈥激光切開術治療，觀察組60例採用經輸尿管鏡針狀電極內切術治療，比較兩組患者的療效、輸尿管穿孔以及併髮癥情況。結果觀察組患者的總有效率為95.0%，顯著高于對照組的85.0%，差異有統計學意義(P<0.05)；觀察組患者2例齣現輸尿管穿孔，髮生率為3.3%，術後併髮癥髮生率為11.7%，對照組患者6例齣現輸尿管穿孔，髮生率為10.0%，術後併髮癥髮生率為33.3%，觀察組患者的併髮癥髮生率顯著低于對照組，差異有統計學意義(P<0.05)。結論經輸尿管鏡針狀電極內切術治療輸尿管狹窄的效果顯著，在療效及安全性方麵均顯著優于鈥激光切開術，值得在臨床推廣應用。
목적：탐토경수뇨관경침상전겁내절술여화격광절개술치료수뇨관협착적림상효과。방법선취2011년1월~2013년12월본원수치적120례수뇨관협착환자위연구대상，채용수궤분조법분위량조，대조조60례채용화격광절개술치료，관찰조60례채용경수뇨관경침상전겁내절술치료，비교량조환자적료효、수뇨관천공이급병발증정황。결과관찰조환자적총유효솔위95.0%，현저고우대조조적85.0%，차이유통계학의의(P<0.05)；관찰조환자2례출현수뇨관천공，발생솔위3.3%，술후병발증발생솔위11.7%，대조조환자6례출현수뇨관천공，발생솔위10.0%，술후병발증발생솔위33.3%，관찰조환자적병발증발생솔현저저우대조조，차이유통계학의의(P<0.05)。결론경수뇨관경침상전겁내절술치료수뇨관협착적효과현저，재료효급안전성방면균현저우우화격광절개술，치득재림상추엄응용。
Objective To explore the clinical effect of trans-ureteroscopic incision with needle electrode and incision of holmium:YAG laser in the treatment of ureterostenosis. Methods 120 patients with ureterostenosis admitted into our hospital from January 2011 to December 2013 were selected as the research object.They were randomly divided into two groups.In control group (n=60),incision of holmium:YAG laser was applied,while in observation group (n=60),trans-ureteroscopic incision with needle electrode was adopted.The curative effect,ureteral perforation,and complications were compared in the two groups. Results The total effective rate in the observation group was 95.0%,much higher than that in the control group accounting for 85.0%,which displayed a statistical difference (P<0.05).Ureteral perforation occurred in two cases with the incidence of 3.3% in the observation group.The incidence of postoperative complications was 11.7%.In the control group,ureteral perforation occurred in 6 cases with the incidence of 10.0%,and the incidence of postoperative complications was 33.3%.The indexes in the observation group was superior to those in the control group with statistical differences (P<0.05). Conclusion Trans-ureteroscopic incision with needle electrode can obtain a re-markable effect on treating ureterostenosis.The effect and safety by trans-ureteroscopic incision with needle electrode are both better than those by incision of holmium:YAG laser,which is worthy of popularization and application in clinic.
