尿道狭窄论文：尿道狭窄尿道闭锁激光膀胱尿道软镜前列腺增生

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1、尿道狭窄论文：尿道狭窄尿道闭锁激光膀胱尿道软镜前列腺增生【中文摘要】探讨膀胱尿道软镜联合绿激光治疗前列腺增生术后后尿道狭窄与闭锁的临床疗效。方法：回顾性分析2008年7刀-2009年7月间山东大学附属省立医院泌尿微创中心使用绿激光对经膀胱尿道软镜检查明确诊断的前列腺增生术后后尿道狭窄或闭锁的患者19例的治疗过程。患者年龄58-79岁，平均64岁，病程2个月-1年。前列腺开放手术后后尿道狭窄与闭锁10例，经尿道前列腺电切手术后9例；尿道闭锁患者3例,尿道狭窄患者16例。3例尿道闭锁患者于外院行耻骨上膀胱造痿术。通过分析患者手术时间、术后留置尿管吋间、术后并发症的发生及术前、术后Qm

2、ax的变化，评估绿激光治疗前列腺增生术后后尿道狭窄与闭锁患者的疗效,并对尿道狭窄及闭锁的术前诊断、手术技巧及术后处理进行经验总结。结果：19例患考手术均一次性成功，手术时间25-90min,平均67min,随访2-8个刀，16例思者一次治愈或术后仅需2-3次尿道扩张后治愈，其余3例患者经多次定期尿道扩张后4-8个月内治愈。组内全部患者术后无尿失禁及性功能进行性减退情况出现。结论：膀胱尿道软镜与绿激光配合使用使诊断直观、全面，术前充分评估,降低了手术操作难度，减少了不必要的损伤，最大限度发挥了两者的优势,是一种治疗后尿道狭窄与闭锁的值得推荐的方法。【英文摘要】：Toinvestig

3、atetheeffectofgreenlightlasercombinedwithelectronflexiblecystoscopeinposteriorurethralstrictureandobliterationaftersurgicaltreatmentofprostatehyperplasia・Methods:Theevaluationincluded19casesofurethralstrictureandobliterationpatientsaftersurgicaltreatmentofprostatehyperplasiawhowereexaminedbye

4、lectronflexiblecystoscopebetweenJuly2008andJuly2009.Theaverageagewas64yearsold(rangefrom58to79).Thecourseofdiseaseslastedfrom2to12months・3caseshavehadsuprapubiccystostomy.10casesofallwereafterprostatectomy,theother9wereafterTURP・3caseswereurethralstrictureandtheother16wereurethralobliteration

5、.Byanalyzingtheoperationtime,postoperativecathetertime,thechangeofQmaxandpostoperativecomplicationsetc・summarizethepreoperativediagnosis,operationtechniqueandpostoperativetreatment・Results:Allcasesweresuccessfulwithoutseriouscomplicationswithoutfailure・Themeanoperativetimewas67min(range25〜90m

6、in)・Duringthefollow-upof2-8months,sixteencasesgotsatisfactoryresuItsorwerecuredafter2~3timesofurethraldilation,theotherthreecasesweretreatedsuccessfullyafterscheduledurethraldilationlasting4-8months・Nocaseshadincontinence・Conclusion:Itissafeandeffectivetoapplygreenlightlasercombinedwithelectr

7、onflexiblecystoscopeinposteriorurethralstrictureandobliteration.Thiskindofoperationshouldbedemonstratedwithadvantagesofsimpleprocedureandlesscomplications・【关键词】尿道狭窄尿道闭锁激光膀胱尿道软镜前列腺增生【亘采买全文色】139938848138113721同时提供论文写作一对一辅导和论文发表服务•保过包发.【说明】木文仅为中