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目的:探讨输尿管镜结合电切镜鞘下钬激光治疗尿道狭窄合并膀胱结石的临床疗效。方法:22例尿道狭窄合并膀胱结石患者在腰硬联合麻醉后,应用输尿管镜行钬激光尿道狭窄切开,进而行电切镜鞘下钬激光碎石治疗,术后通过复查B超、X线片及最大尿流率变化观察其疗效。结果:22例患者均一次手术成功,无结石残留,拔除尿管后均排尿通畅,最大尿流率较术前明显提高。结论:采用钬激光治疗尿道狭窄合并膀胱结石具有操作简单、创伤小、痛苦小、术后并发症少的优点,是一种安全有效的治疗方法。
Objective: To investigate the clinical efficacy of ureteroscopic combined with resectoscope under holmium laser in the treatment of urethral stricture combined with bladder stones. Methods: Twenty-two patients with urethral stricture and bladder stones underwent combined spinal-epidural anesthesia. The patients underwent ureteroscopic holmium laser urethral stricture excision. The patients underwent ureteroscopic sheath-holmium laser lithotripsy. After operation, B- Table and the largest changes in urinary flow rate observed its efficacy. Results: Twenty-two patients were successful in one operation. No residual stones were found. After extubation, voiding was unobstructed and maximal uroflow rate was significantly higher than that before operation. Conclusion: Holmium laser treatment of urethral stricture combined with bladder stones has the advantages of simple operation, less trauma, less pain and less postoperative complications, which is a safe and effective treatment.