CAJ | 학술논문

目的：评价钬激光联合等离子电切与传统开放手术治疗男性尿道狭窄的疗效及安全性。方法2005年1月至2013年12月我科共收治尿道狭窄患者59例，早期患者采用开放手术处理，自2008年后使用腔内手术，对两组患者的临床资料进行统计学分析。结果腔内手术组在手术时间、术中失血量、住院时间、术后留置尿管时间及术后并发症的发生少于开放手术组，差异有统计学意义（P＜0.01）。术后尿道再次狭窄发生上开放手术优于腔内手术组（P＜0.05），但对于尿道狭窄≤1.0 cm腔内手术与开放手术比较差异无统计学意义（P＞0.05）。结论经尿道输尿管镜钬激光联合等离子电切治疗男性尿道狭窄具有损伤小、操作简单，可重复等优点，特别是对于≤1.0 cm的尿道狭窄，但开放手术仍是治疗尿道狭窄最终办法。
목적：평개화격광연합등리자전절여전통개방수술치료남성뇨도협착적료효급안전성。방법2005년1월지2013년12월아과공수치뇨도협착환자59례，조기환자채용개방수술처리，자2008년후사용강내수술，대량조환자적림상자료진행통계학분석。결과강내수술조재수술시간、술중실혈량、주원시간、술후류치뇨관시간급술후병발증적발생소우개방수술조，차이유통계학의의（P＜0.01）。술후뇨도재차협착발생상개방수술우우강내수술조（P＜0.05），단대우뇨도협착≤1.0 cm강내수술여개방수술비교차이무통계학의의（P＞0.05）。결론경뇨도수뇨관경화격광연합등리자전절치료남성뇨도협착구유손상소、조작간단，가중복등우점，특별시대우≤1.0 cm적뇨도협착，단개방수술잉시치료뇨도협착최종판법。
Objective To compare the clinical efifcacy and safety of combined holmium laser with plasma electrocution and the traditional open operation for the treatment of male urethral stricture.Methods From January 2005 to December 2013, 59 patients with urethral stricture were treated in our department, divided into open operation and endovascular operation group. Clinical data of the two groups were statistically analyzed.Results The operation time, the blood loss, the time of indwelling catheter and hospitalization, postoperative occurs was less in endovascular operation group than the open operation group, the difference has statistical signiifcance(P<0.01), there was signiifcant differences between the two groups in postoperative urethral stricture(P<0.05), for urethral stricture length≤1.0 cm, there was no significant difference (P>0.05).Conclusion Application of combined holmium laser with plasma electrocution in male urethral stricture has the advantages of small injury, simple operation and can be repeated., especially for≤1.0 cm urethral stricture, but open operation is still the treatment of urethral stricture of the ifnal approach.