球囊扩张术与钬激光内切术治疗继发性输尿管狭窄的对比研究

发布时间：2018-05-10 23:09

本文选题：钬激光内切术 + 球囊扩张术　；参考：《中国内镜杂志》2017年06期

【摘要】：目的随访对比分析球囊扩张术与钬激光内切术治疗继发性输尿管狭窄的临床效果。方法将32例继发性输尿管狭窄患者随机分为球囊扩张组和钬激光内切组,每组16例,分别进行上述两种手术方式。术后第3、6、12和24个月分别进行随访并比较两组患者术后输尿管狭窄的治疗效果。结果在第3、6和12个月两组临床效果随访结果显示差异均无统计学意义(P0.05),总体有效率方面差异均无统计学意义(P0.05)。在第24个月时,两组临床效果差异有统计学意义(P0.05),总体有效率差异有统计学意义(P0.05)。结论球囊扩张术和钬激光内切术治疗继发性输尿管狭窄的近期临床效果相当,钬激光内切术治疗继发性输尿管狭窄的中期临床疗效优于球囊扩张术。
[Abstract]:Objective to compare the clinical effects of balloon dilatation and holmium laser endoscopy in the treatment of secondary ureteral stricture. Methods 32 patients with secondary ureteral stenosis were randomly divided into balloon dilatation group and holmium laser endoscopy group. All patients were followed up for 12 and 24 months after operation, and the results of ureteral stenosis were compared between the two groups. Results at the 3rd month and 12th month, the results of follow-up showed that there was no significant difference in the clinical effect between the two groups, and there was no significant difference in the total effective rate between the two groups in terms of total effective rate (P 0.05). At the 24th month, the difference of clinical effect between the two groups was statistically significant (P 0.05), and the overall effective rate was significantly different (P 0.05). Conclusion Balloon dilatation and holmium laser endoscopy are effective in the treatment of secondary ureteral stricture, and holmium laser endoscopy is superior to balloon dilatation in the treatment of secondary ureteral stricture.
【作者单位】：兰州军区兰州总医院泌尿外科;四川大学华西医院泌尿外科;
【基金】：兰州市人才创新创业项目(No:2015-RC-16)
【分类号】：R699.4

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