硬性输尿管镜联合等离子柱状电极对尿道狭窄患者的影响
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Rigid ureteroscopy combined plasma cylindrical electrode effects in patients with urethral stricture
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    摘要:

    目的   探讨硬性输尿管镜联合等离子柱状电极对尿道狭窄患者的影响。方法   选取2010年3月-2014年11月收治的28例单纯性尿道狭窄患者为研究对象,所有患者均接受硬性输尿管镜联合等离子柱状电极治疗。治疗周期结束后,统计治疗后各项手术指标,比较治疗前后国际前列腺症状(IPSS)评分及性功能情况。结果   在28例患者中有26例患者手术成功,手术时间范围30~117 min,留管时间2~4周。留管期间给予抗感染消肿治疗,口服激素软化瘢痕。拔管后3例出现轻度尿失禁,经膀胱功能锻炼后症状消失;25例出现尿频尿急症状,处理后症状消失,但无1例发生穿孔、假道及直肠并发症。随访期间均排尿通畅。患者IPSS评分从术前(20.76±4.62)降至术后(9.04±4.68),患者IPSS评分及症状级别分布情况明显改善(P <0.05)。治疗前患者国际勃起功能(IIEF-5)评分为(20.18±4.75),治疗后为(20.01±4.82),IIEF-5评分差异无统计学意义(P > 0.05)。结论   硬性输尿管镜联合等离子柱状电极治疗尿道狭窄,具有损伤小、安全性高等优点,可有效提升患者的IPSS评分,同时不影响性功能,临床效果显著。

    Abstract:

    Abstract: Objective To explore the rigid ureteroscopy combined plasma cylindrical electrode effects in patients with urethral stricture. Methods Selected 28 cases of urethral stricture plasma cylindrical electrode from March 2010 to November 2014 as the research subject, used rigid ureteroscopy combined plasma cylindrical electrode for treatment. The operation indexes after statistical treatment, compared before and after treatment IPSS score and sexual function. Results 26 cases were performed successfully. Operation time 30 minutes to 117 minutes. Indwelling catheter time 2~4 weeks. Leave during the pipe gave anti-infection detumescence treatment, oral hormone to soften the scar. After extubation, 3 cases with mild urinary incontinence, the bladder functional exercise after the symptoms disappear. 25 cases symptoms of frequent urination urgency, symptoms disappeared after symptomatic treatment. Has not been a serious perforation, false way and rectal complications. All voiding during the follow-up period. Patients IPSS score changed from (20.76 ± 4.62) to (9.04 ± 4.68), IPSS score and symptoms in patients with distribution level obviously improved (P < 0.05). Treatment before IIEF-5 score of the patients changed from (20.18 ± 4.75) to (20.01 ± 4.82) after treatment, two groups of patients before and after the treatment IIEF-5 rating of no significant difference (P >  0.05). Conclusions Rigid ureteroscopy combined plasma cylindrical electrode treatment of urethral stricture, has advantages of less injury, high safety, can effectively improve patient IPSS score, at the same time does not affect sexual function, clinical effect is remarkable.

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赵钰,胡冀生,张鹏.硬性输尿管镜联合等离子柱状电极对尿道狭窄患者的影响[J].中国内镜杂志,2016,22(1):49-52

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  • 收稿日期:2015-08-06
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  • 在线发布日期: 2016-01-30
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