[1]胡春勇 梁荣杰 陈芬波 陈增谋 陈志健.钬激光内切开术联合球囊扩张术治疗输尿管狭窄的临床观察[J].大众科技,2021,23(5):51-53.
　Clinical Observation of Holmium Laser Endoureterotomy Combined with Balloon Dilatation in the Treatment of Ureteral Stricture[J].Popular Science & Technology,2021,23(5):51-53.
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钬激光内切开术联合球囊扩张术治疗 输尿管狭窄的临床观察()
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《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
23
期数:
2021年5
页码:
51-53
栏目:
医药与卫生
出版日期:
2021-05-20

文章信息/Info

Title:
Clinical Observation of Holmium Laser Endoureterotomy Combined with Balloon Dilatation in the Treatment of Ureteral Stricture
作者:
胡春勇 梁荣杰 陈芬波 陈增谋 陈志健
（梧州市人民医院，广西 梧州 543000）
关键词:
输尿管狭窄; 钬激光内切开术; 球囊扩张术
Keywords:
ureteral stricture holmium laser endoureterotomy balloon dilation
文献标志码:
A
摘要:
目的：探讨钬激光内切开术联合球囊扩张术治疗输尿管狭窄的临床疗效。方法：将50例输尿管狭窄患者按随机数字表法分为观察组（25例）和对照组（25例），对照组予钬激光内切开术治疗，观察组在对照组的基础上联合球囊扩张术治疗，观察两组临床有效率、围手术期指标（手术时间、术中出血量、住院时间）、输尿管狭窄程度（狭窄长度、狭窄宽度、肾集合系统分离值）及并发症发生率。结果：经治疗后，观察组总有效率为96.00%，显著高于对照组的总有效率（75.00%）（P＜0.05）；观察组输尿管狭窄改善程度和并发症发生率均明显优于对照组（P＜0.05）；而两组在手术时间、术中出血量、住院时间上相近（P＞0.05）。结论：钬激光内切开术联合球囊扩张术治疗输尿管狭窄的效果较为显著，可改善患者输尿管狭窄，减少术后并发症，值得推广应用。
Abstract:
Objective: To investigate the clinical efficacy of holmium laser endoureterotomy combined with balloon dilatation in the treatment of ureteral stricture. Methods: 50 patients with ureteral stricture were randomly divided into observation group (n=25) and control group (n=25). The control group was treated with holmium laser endoureterotomy, and the observation group was treated with balloon dilatation on the basis of the control group. The clinical effective rate, perioperative index (operation time, intraoperative blood loss, hospital stay), the degree of ureteral stricture (stenosis length, stenosis width, renal collection system separation value) and the incidence of complications were observed in the two groups. Results: After treatment, the total effective rate of the observation group was 96.00%, which was significantly higher than that 75.00% of the control group (P<0.05). The improvement degree of ureteral stricture and the incidence of complications in observation group were significantly better than those in control group (P<0.05). The operative time, intraoperative blood loss and hospitalization time were similar between the two groups (P>0.05). Conclusion: Holmium laser endoureterotomy combined with balloon dilatation has a significant effect on ureteral stenosis. It can improve patients with ureteral stricture and reduce postoperative complications, which is worthy of popularization and application.

参考文献/References:

[1]　Lucas J W, Ghiraldi E, Ellis J, et al. Endoscopic management of ureteral strictures: an update[J]. Current Urology Reports, 2018, 19(4): 24. [2] 王志超，周建甫，桂泽红，等. 输尿管镜球囊扩张术在良性输尿管狭窄中的应用[J]. 中国内镜杂志，2016，22(4): 95-97. [3] 钟子芳，伍耿青，廖汉清，等. 输尿管狭窄腔内治疗新进展[J]. 江西医药，2020，55(7): 943-947. [4] 姜言梦，张能，陈书练，等. 输尿管狭窄腔内治疗进展[J]. 齐齐哈尔医学院学报，2019，40(24): 3120-3122. [5] Kachrilas S, Bourdoumis A, Karaolides T, et al. Current status of minimally invasive endoscopic management of ureteric strictures[J]. Therapeutic Advances in Urology, 2013, 5(6): 354-365. [6] 赵亚伟，刘园园，魏红建. 球囊扩张术在治疗良性输尿管狭窄中的疗效分析[J]. 国际泌尿系统杂志，2019(4): 648-651. [7] Chow P M, Hsu J S, Su Y R, et al. Intraoperative retrograde ureteroscopy during laparoscopic ureteroureterostomy: Precise localization of the lesion[J]. Asian Journal of Surgery, 2013, 39(4): 253,4. [8] 王众，折占飞，徐浩宇. 输尿管狭窄腔内治疗术应用研究进展[J]. 山东医药，2019，59(33): 112-114. [9] 蔡忠林，李文娟，周川，等. 球囊扩张术与钬激光内切术治疗继发性输尿管狭窄的对比研究[J]. 中国内镜杂志，2017，23(6): 16-20.

备注/Memo

备注/Memo:
【收稿日期】2021-03-14 【基金项目】梧州市科学研究与技术开发项目（201702077）。 【作者简介】胡春勇（1980－），男，梧州市人民医院副主任医师，从事泌尿系统疾病的临床防治工作。
更新日期/Last Update: 2021-09-07