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骨盆骨折致后尿道狭窄行腔内钬激光术与开放手术的对比研究

贾军琪   

  1. 延安大学附属医院泌尿外科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-06-25

  • Received:1900-01-01 Revised:1900-01-01 Online:2016-06-25

摘要: 摘要:目的:研究分析骨盆骨折致后尿道狭窄行腔内钬激光术与开放手术的疗效对比。方法:选取我院2012年2月~2014年2月收治的80例骨盆骨折致后尿道狭窄患者作为研究对象,结合研究的需要,随机分为对照组和观察组,对观察组的36例患者采用腔内钬激光术治疗,对对照组的44例患者行开放手术治疗,术后对2组进行15个月的随访,继而对2组患者术中出血量、手术用时及术后尿道扩张次数等进行对比分析。结果:结合我院的统计分析得出,在治愈率方面,对照组为86.3%,观察组为83.3%,2组的对比无显著意义(P>0.05),在术中出血量、手术用时以及并发症发生率、住院时间等的对比方面。观察组均少于对照组(P<0.05)。结论:经我院研究得出,在对骨盆骨折致后尿道狭窄患者的手术治疗方面,相比于开放手术,腔内钬激光术具备了操作简便、手术用时短及并发症少等诸多优势,应当推广使用,对于复杂性尿道狭窄患者的治疗,则应当用开放手术。

Abstract: Abstract: objective: to study the analysis of the pelvic fractures caused by posterior urethral stricture improperness in the curative effect of holmium laser surgery and open surgery.Methods: from February 2012 to February 2012 were 80 cases of pelvic fractures with posterior urethral stricture patients as the research object, combined with the need of study, were randomly divided into control group and observation group, the observation group of 36 cases were treated by holmium laser cavity treatment, control group of 44 cases of patients underwent surgical treatment, open surgery to 15 months of follow-up of 2 groups, intraoperative blood loss, then the 2 groups of patients, operation time and postoperative urethral expansion times, etc were analyzed.Results: the combination of our statistical analysis, in terms of cure rate, control group was 86.3%, the observation group was 83.3%, two groups of contrast, no significant (P > 0.05), the intraoperative blood loss, surgical time and complications, the length of time the contrast aspects.The observation group were less than the control group (P < 0.05).Conclusion: through our study, in the pelvic fractures caused by the surgical treatment of patients with posterior urethral stricture, compared with open surgery, lumen holmium laser technique has simple operation, short and fewer complications, and many other advantages, shall promote the use, for the treatment of patients with complex urethral stricture, you should use open surgery.