摘要
目的比较输尿管镜直视下球囊扩张术与冷刀内切开术治疗男性后尿道狭窄的疗效。方法回顾性分析晋城市人民医院2012-2018年收治的男性后尿道狭窄患者115例的临床资料,依据手术方法不同分为两组,球囊组59例采用输尿管镜直视下球囊扩张术治疗,冷刀组56例采用尿道冷刀内切开术治疗。比较两组患者手术时间、术后住院天数、术后最大尿流率、复发率及再手术率。结果两组手术时间、术后住院天数差异均无统计学意义(均P>0.05)。球囊组术后3个月最大尿流率为(19.41±5.49)mL/s,明显大于冷刀组的(17.07±6.17)mL/s(t=2.147,P<0.05);球囊组复发率、再手术率分别为13.56%(8/59)、8.47%(5/59),均明显低于冷刀组的32.14%(18/56)、23.21%(13/56)(χ^2=5.671、4.728,均P<0.05);两组患者均未见明显手术并发症。结论输尿管镜直视下球囊扩张术治疗男性后尿道狭窄,与尿道冷刀内切开术比较具有明显的优势,是治疗男性后尿道狭窄疗效更好的手术方式。
Objective To compare the effect of balloon dilation under ureteroscope and cold knife incision in the treatment of male posterior urethral stricture.Methods The clinical data of 115 patients with posterior urethral stricture admitted to the People's Hospital of Jincheng from 2012 to 2018 were retrospectively analyzed.They were divided into two groups depending on the surgical procedure.In the balloon group,59 cases were treated with ureteroscopic balloon dilatation.In the cold knife group,56 cases were treated with internal urethral cold knife incision.The operation time,postoperative hospitalization days,postoperative maximum urine flow rate,recurrence rate and reoperation rate were compared between the two groups.Results There was no statistically significant difference in operation time and postoperative hospitalization day between the two groups(all P>0.05).The maximum urine flow rate at 3 months after surgery was(19.41±5.49)mL/s in the balloon group,which was significantly higher than that in the cold-knife group[(17.07±6.17)mL/s](t=2.147,P<0.05).The recurrence rate and reoperation rate of the balloon group were 13.56%(8/59)and 8.47%(5/59),respectively,which were significantly lower than 32.14%(18/56)and 23.21%(13/56)of the cold knife group(χ^2=5.671,4.728,all P<0.05).No significant surgical complications were observed in the two groups.Conclusion Balloon dilation under ureteroscopy in the treatment of male posterior urethral stricture has obvious advantages compared with cold knife incision,and it is a better surgical method for the treatment of male posterior urethral stricture.
作者
薛国军
Xue Guojun(Department of Urology,the People's Hospital of Jincheng,Jincheng,Shanxi 048000,China)
出处
《中国基层医药》
CAS
2020年第11期1303-1306,共4页
Chinese Journal of Primary Medicine and Pharmacy
