输尿管镜下钬激光内切开与内切开联合气囊扩张治疗输尿管狭窄的疗效比较

doi:10.3969/j.issn.1009-976X.2016.03.026

摘要/Abstract

摘要： 【摘要】目的比较输尿管镜下钬激光内切开与内切开联合期囊扩张治疗输尿管狭窄的临床疗效。方法〓回顾性分析我院从2008年1月到2015年12月入院治疗的66例输尿管狭窄患者的临床资料。以2011年12月之前接受输尿管镜下钬激光狭窄内切开手术治疗的患者为对照组,共30例;2012年1月以后接受输尿管镜下钬激光狭窄内切开联合球囊扩张手术治疗的患者为研究组,共36例。评价两组的临床疗效与并发症等情况。结果〓研究组患者的临床疗效显著优于对照组患者(有效率:73.3% vs 91.7%),差异具有统计学意义(P<0.05);两组患者术中及术后均未见输血尿管穿孔及脱套等严重并发症。结论〓输尿管镜下钬激光内切开联合球囊扩张治疗输尿管狭窄,具有临床疗效显著、损伤小、恢复快等优点,值得临床推广应用。

关键词: 输尿管狭窄, 球囊扩张, 钬激光, 内切开

Abstract: 【Abstract】〓Objective〓To compare the clinical effect of endoscopic incision and incision plus balloon dilation in the treatment of ureteral stenosis. Methods〓The clinical data of 66 patients with ureteral stenosis admitted in our hospital from January 2008 to December 2015 were retrospectively analyzed. Thirty patients were enrolled in the control group treated by endoscopic holmium laser incision before December 2011, and 36 patients were assigned to the observation group treated by holmium laser incision combined with balloon dilation after January 2012. The clinical efficacy and complications were evaluated between two groups. Results〓The clinical efficacy of the observation group was significantly better than that of the control group (effective rate: 73.3% vs 91.7%, P<0.05). There were no complications such as ureteral perforation and renal colic between two groups. Conclusion〓For ureteral stenosis, endoscopic holmium laser incision combined with balloon dilation has an advantages of good clinical effect, small damage and rapid recovery.

Key words: Holmium laser, Balloon dilation, Ureteral stenosis, Endoscopic incision

中图分类号:

R693+.2

李锦棠. 输尿管镜下钬激光内切开与内切开联合气囊扩张治疗输尿管狭窄的疗效比较[J]. 岭南现代临床外科, 2016, 16(03): 341-343.

LI Jintang. A comparison between endoscopic incision and incision plus balloon dilation for ureteral stenosis[J]. Lingnan Modern Clinics in Surgery, 2016, 16(03): 341-343.

[1]	张育周, 张俊鑫, 徐煜宇, 陈双星, 徐桂彬. 球囊扩张术联合双根D-J管在治疗良性输尿管狭窄中的疗效分析[J]. 岭南现代临床外科, 2021, 21(03): 345-348.
[2]	陈壮浩, 李建明, 宋巍巍, 李伟, 郭锋满, 常建星. 经皮胆道造瘘胆道镜取石、球囊扩张术治疗复发肝内胆管结石46例临床观察[J]. 岭南现代临床外科, 2020, 20(06): 699-702.
[3]	莫伟, 许秀婷, 肖志勋, 张文智, 林奕霞, 周晖, 汪何. 三芪丹对糖尿病兔股动脉狭窄的研究[J]. 岭南现代临床外科, 2020, 20(06): 732-735.
[4]	林飞鹤，谢春发，高海亮，蔡道广，蔡伯基. 输尿管镜下钬激光治疗输尿管结石428 例经验总结[J]. 岭南现代临床外科, 2018, 18(06): 705-707.
[5]	陈婷杨瑾余孝丽白守民. 宫颈癌常规放疗后输尿管狭窄的危险因素分析[J]. 岭南现代临床外科, 2017, 17(01): 50-55.
[6]	杨佳生何春军赖以毅潘盛黄梓基甘义. 椎体压缩性骨折高度恢复与治疗效果的相关性研究[J]. 岭南现代临床外科, 2017, 17(01): 99-103.
[7]	徐桂彬朱继翔苏雁甜何永忠赵海波苏郑明徐煜宇袁耀基彭晔李逊. 特异性沉默TGF-β1的PIP控释支架预防输尿管狭窄的实验研究[J]. 岭南现代临床外科, 2016, 16(06): 657-660.
[8]	林奇生王一民何琼芳张宏波李中檀罗福昌黄醒中. 单侧与双侧经皮球囊扩张椎体成形术治疗骨质疏松性椎体压缩性骨折的疗效分析[J]. 岭南现代临床外科, 2016, 16(03): 320-323.
[9]	刘红军康永胜唐云峰李华强冼晓晖林德进谢斌周绍华梁羽. 经输尿管镜钬激光联合球囊扩张器治疗尿道狭窄[J]. 岭南现代临床外科, 2016, 16(03): 334-337.
[10]	毛洲洲丁军平赵书斌彭金健朱建坦隆电熙初铭彦. 输尿管镜下钬激光联合筋膜扩张器治疗成年男性尿道狭窄合并下尿路结石的体会[J]. 岭南现代临床外科, 2016, 16(01): 84-86.
[11]	徐汉新吴兆春黄海. 腔镜下单纯冷刀内切开与联合钬激光治疗男性后尿道狭窄的疗效观察[J]. 岭南现代临床外科, 2015, 15(05): 610-613.
[12]	陈金洋李树人郑鸣. 钬激光逆行剜除+膀胱切开取出腺体及结石术治疗BPH并发膀胱结石[J]. 岭南现代临床外科, 2015, 15(05): 621-623.
[13]	彭艳斌胡雄郭俊李泽平李振华. 胆道镜引导下钬激光在胰管结石术中的应用[J]. 岭南现代临床外科, 2015, 15(02): 139-142.
[14]	徐汉新吴兆春黄海. 输尿管硬镜下钬激光碎石取石术治疗输尿管上段结石112例[J]. 岭南现代临床外科, 2014, 14(06): 691-693.

输尿管镜下钬激光内切开与内切开联合气囊扩张治疗输尿管狭窄的疗效比较

A comparison between endoscopic incision and incision plus balloon dilation for ureteral stenosis

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 14

编辑推荐

Metrics