严重尿道狭窄的微创治疗(1)
[摘要]目的 探討严重尿道狭窄的微创治疗效果，为临床提供指导。方法 选取2009年10月～2014年12月在我院就医的62例严重尿道狭窄患者作为研究对象，对其临床资料进行回顾性分析，其中26例患者实施传统手术治疗(传统组)，36例患者实施微创手术治疗(微创组)，均随访2年，研究对比两组的手术时间、术中出血量、临床疗效、尿流率、住院时间、并发症发生率及复发率。结果 微创组的手术时间、住院时间短于传统组，术中出血量少于传统组，差异有统计学意义(P<0.05)。两组治疗后的尿流率均较治疗前显著升高，差异有统计学意义(P<0.05)。两组治疗后的尿流率比较，差异无统计学意义(P>0.05)。微创组的治愈率为97.22%，与传统组的92.31%比较，差异无统计学意义(P>0.05)。微创组的并发症发生率为0.00%，明显低于传统组的15.38%，差异有统计学意义(P<0.05)。随访2年，微创组未见复发病例，与传统组的7.69%比较，差异无统计学意义(P>0.05)。结论 对严重尿道狭窄患者实施微创治疗具有较显著的效果，且手术时间更短，术中出血量更少，能显著降低患者的并发症发生率，促进患者预后，缩短住院时间。
[关键词]尿道狭窄；微创；效果
[中图分类号] R695 [文献标识码] A [文章编号] 1674-4721(2017)11(a)-0074-03
Minimally invasive treatment of severe urethral stricture
WU Jun-yan
Department of Urinary Surgery，People′s Hospital of Yingde City in Guangdong Province，Yingde 513000，China
[Abstract]Objective To explore the curative effect of minimally invasive in the treatment of severe urethral stricture，and to provide guidance for clinical practice.Methods 62 patients with severe urethral stricture who were admitted to our hospital from October 2009 to December 2014 were selected as the study subjects.The clinical data of 62 patients with severe urethral stricture were retrospectively analyzed.26 patients were given traditional surgical treatment (the traditional group)，and 36 patients were given minimally invasive surgery (the minimally invasive group).The patients were all followed up for 2 years.The operation time，intraoperative blood loss，clinical efficacy，urinary flow rate，length of stay，incidence rate of complications and recurrence rate were compared between the two groups.Results The operation time，length of stay in the minimally invasive group was shorter than that in the traditional group，the intraoperative blood loss in the minimally invasive group was less than that in the traditional group，with significant difference (P<0.05).The urine flow rate of the two groups after treatment was significantly higher than before treatment，with significant difference (P<0.05).There was no significant difference in the urine flow rate between the two groups after treatment (P>0.05).The cure rate of the minimally invasive group was 97.22%，compared with 92.31% of the traditional group，the difference was not statistically significant (P>0.05).The incidence rate of complication in the minimally invasive group was 0.00%，which was significantly lower than 15.38% in the traditional group，with significant difference (P<0.05).The patients were followed-up for 2 years，and no recurrence was seen in the minimally invasive group.Compared with 7.69% in the traditional group，the difference was not statistically significant (P>0.05).Conclusion The minimally invasive treatment for the patients with severe urethral stricture has a significant effect，and the operation time is shorter，intraoperative bleeding is less，which can significantly reduce the risk of complications in the patients，promote the prognosis and shorten the length of stay., 百拇医药(吴俊雁)
[关键词]尿道狭窄；微创；效果
[中图分类号] R695 [文献标识码] A [文章编号] 1674-4721(2017)11(a)-0074-03
Minimally invasive treatment of severe urethral stricture
WU Jun-yan
Department of Urinary Surgery，People′s Hospital of Yingde City in Guangdong Province，Yingde 513000，China
[Abstract]Objective To explore the curative effect of minimally invasive in the treatment of severe urethral stricture，and to provide guidance for clinical practice.Methods 62 patients with severe urethral stricture who were admitted to our hospital from October 2009 to December 2014 were selected as the study subjects.The clinical data of 62 patients with severe urethral stricture were retrospectively analyzed.26 patients were given traditional surgical treatment (the traditional group)，and 36 patients were given minimally invasive surgery (the minimally invasive group).The patients were all followed up for 2 years.The operation time，intraoperative blood loss，clinical efficacy，urinary flow rate，length of stay，incidence rate of complications and recurrence rate were compared between the two groups.Results The operation time，length of stay in the minimally invasive group was shorter than that in the traditional group，the intraoperative blood loss in the minimally invasive group was less than that in the traditional group，with significant difference (P<0.05).The urine flow rate of the two groups after treatment was significantly higher than before treatment，with significant difference (P<0.05).There was no significant difference in the urine flow rate between the two groups after treatment (P>0.05).The cure rate of the minimally invasive group was 97.22%，compared with 92.31% of the traditional group，the difference was not statistically significant (P>0.05).The incidence rate of complication in the minimally invasive group was 0.00%，which was significantly lower than 15.38% in the traditional group，with significant difference (P<0.05).The patients were followed-up for 2 years，and no recurrence was seen in the minimally invasive group.Compared with 7.69% in the traditional group，the difference was not statistically significant (P>0.05).Conclusion The minimally invasive treatment for the patients with severe urethral stricture has a significant effect，and the operation time is shorter，intraoperative bleeding is less，which can significantly reduce the risk of complications in the patients，promote the prognosis and shorten the length of stay., 百拇医药(吴俊雁)