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

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