输尿管镜钬激光术治疗尿道狭窄合并尿道结石的价值研究(1)
摘要：目的 研究并分析治疗尿道狭窄合并尿道结石患者时使用输尿管镜钬激光术的治疗效果。方法 收集尿道狭窄合并尿道结石患者共86例，根据随机分配方案将其分为对照组(43例)和观察组(43例)，对照组接受常规手术切开治疗，观察组联合输尿管镜钬激光术，将两组临床疗效、尿线长度、尿流速度进行观察和对比。结果 观察组疗效的总有效率为95.30%，明显比对照组的65.10%高，组间差异显著(P<0.05)。观察组治疗后的尿线长度为(5.2±0.7)μm、尿流速度为(16.1±1.5)ml/s，均明显比对照组的(3.9±0.5)μm、(14.3±1.4)ml/s高，组间差异显著(P<0.05)。结论 在尿道狭窄合并尿道结石患者的治疗过程中，输尿管镜钬激光术能够使患者获得更佳疗效，且基本不会对尿道黏膜造成损伤，值得推广应用。
关键词： 尿道狭窄；尿道结石；输尿管镜钬激光术
中图分类号：R683 文献标识码：A 文章编号：1006-1959(2017)16-0072-02
, 百拇医药
Study on the Value of Ureteroscopic Holmium Laser for the Treatment of Urethral Stricture Complicated with Urethral Calculi
FU Jin-liang
(Department of Urology，Qingchuan County Traditional Chinese Medicine Hospital，Guangyuan 628100，Sichuan，China)
Abstract：Objective To study and analyze the effect of ureteroscopic holmium laser treatment in patients with urethral stricture complicated with urethral calculi.Methods A total of 86 cases of urethral stricture complicated with urethral calculi were collected according to the random allocation method，which can be divided into control group(43 cases)and observation group(43 cases)，the control group received routine surgical treatment，the observation group with ureteroscope holmium laser surgery，clinical efficacy of the two groups，urine line length，urinary flow rate were observed and compared.Results The efficacy of the observation group the total effective rate was 95.30%，significantly higher than the control group 65.10%， significant difference between groups(P<0.05).The urinary tract length of the observation group after treatment was(5.2±0.7)μm，and the urinary flow rate was (16.1±1.5)ml/s，which was significantly higher than that of the control group(3.9±0.5)μm，(14.3±1.4)ml/s，and there was significant difference between groups(P<0.05).Conclusion In the treatment of urethral stricture complicated with urethral calculi，ureteroscopic holmium laser surgery can make the patient get better curative effect，and basically do not cause damage to the urethra mucosa，it is worth popularizing.
, 百拇医药
Key words：Urethral stricture；Urethral calculi；Ureteroscopic holmium laser
尿道狭窄属于泌尿外科的常见病，而尿道结石的发病率并不高，且多见于男性。相关的研究发现，尿道结石大部分来自于肾脏结石和膀胱结石，少数原发性尿道结石则继发于尿道憩室或尿道狭窄[1]。在传统的治疗干预中，开放式的手术会给患者带来较大创伤，且并发症较多，因此对其预后造成较大影响[2]。在本次研究中，对尿道狭窄合并尿道结石患者采用了输尿管镜钬激光术的干预方式，现报道如下。
1 资料与方法
1.1 一般资料
选取2014年8月～2016年9月在我院接受治疗的尿道狭窄合并尿道结石患者共86例，根据随机分配方案将其分为对照组(43例)和观察组(43例)，均为男性。对照组年龄25～63岁，平均年龄(37.2±7.4)岁；18例患者为前尿道结石，13例患者为膜部尿道结石，12例为前列腺尿道结石。观察组年龄23～63岁，平均年齡(37.3±7.3)岁；17例患者为前尿道结石，14例患者为膜部尿道结石，12例为前列腺尿道结石。两组基线资料无统计学差异(P>0.05)，有可比性。所遵循的程序均符合相关伦理学标准，并通过我院伦理委员会审核，患者及其家属均知情同意。, 百拇医药(付金梁)
关键词： 尿道狭窄；尿道结石；输尿管镜钬激光术
中图分类号：R683 文献标识码：A 文章编号：1006-1959(2017)16-0072-02
, 百拇医药
Study on the Value of Ureteroscopic Holmium Laser for the Treatment of Urethral Stricture Complicated with Urethral Calculi
FU Jin-liang
(Department of Urology，Qingchuan County Traditional Chinese Medicine Hospital，Guangyuan 628100，Sichuan，China)
Abstract：Objective To study and analyze the effect of ureteroscopic holmium laser treatment in patients with urethral stricture complicated with urethral calculi.Methods A total of 86 cases of urethral stricture complicated with urethral calculi were collected according to the random allocation method，which can be divided into control group(43 cases)and observation group(43 cases)，the control group received routine surgical treatment，the observation group with ureteroscope holmium laser surgery，clinical efficacy of the two groups，urine line length，urinary flow rate were observed and compared.Results The efficacy of the observation group the total effective rate was 95.30%，significantly higher than the control group 65.10%， significant difference between groups(P<0.05).The urinary tract length of the observation group after treatment was(5.2±0.7)μm，and the urinary flow rate was (16.1±1.5)ml/s，which was significantly higher than that of the control group(3.9±0.5)μm，(14.3±1.4)ml/s，and there was significant difference between groups(P<0.05).Conclusion In the treatment of urethral stricture complicated with urethral calculi，ureteroscopic holmium laser surgery can make the patient get better curative effect，and basically do not cause damage to the urethra mucosa，it is worth popularizing.
, 百拇医药
Key words：Urethral stricture；Urethral calculi；Ureteroscopic holmium laser
尿道狭窄属于泌尿外科的常见病，而尿道结石的发病率并不高，且多见于男性。相关的研究发现，尿道结石大部分来自于肾脏结石和膀胱结石，少数原发性尿道结石则继发于尿道憩室或尿道狭窄[1]。在传统的治疗干预中，开放式的手术会给患者带来较大创伤，且并发症较多，因此对其预后造成较大影响[2]。在本次研究中，对尿道狭窄合并尿道结石患者采用了输尿管镜钬激光术的干预方式，现报道如下。
1 资料与方法
1.1 一般资料
选取2014年8月～2016年9月在我院接受治疗的尿道狭窄合并尿道结石患者共86例，根据随机分配方案将其分为对照组(43例)和观察组(43例)，均为男性。对照组年龄25～63岁，平均年龄(37.2±7.4)岁；18例患者为前尿道结石，13例患者为膜部尿道结石，12例为前列腺尿道结石。观察组年龄23～63岁，平均年齡(37.3±7.3)岁；17例患者为前尿道结石，14例患者为膜部尿道结石，12例为前列腺尿道结石。两组基线资料无统计学差异(P>0.05)，有可比性。所遵循的程序均符合相关伦理学标准，并通过我院伦理委员会审核，患者及其家属均知情同意。, 百拇医药(付金梁)
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