高级检索
韩刚, 张军勇, 杨斌, 连文峰, 陈宇东, 王领军, 王志鹏, 王强, 史建国, 刘同伟, 殷晓松, 苑海波, 白旭青, 乔刚, 张倩. 经尿道输尿管镜下2μm激光汽化切除术治疗小儿后尿道瓣膜症[J]. 解放军医学院学报, 2015, 36(11): 1096-1098. DOI: 10.3969/j.issn.2095-5227.2015.11.010
引用本文: 韩刚, 张军勇, 杨斌, 连文峰, 陈宇东, 王领军, 王志鹏, 王强, 史建国, 刘同伟, 殷晓松, 苑海波, 白旭青, 乔刚, 张倩. 经尿道输尿管镜下2μm激光汽化切除术治疗小儿后尿道瓣膜症[J]. 解放军医学院学报, 2015, 36(11): 1096-1098. DOI: 10.3969/j.issn.2095-5227.2015.11.010
shu
HAN Gang, ZHANG Junyong, YANG Bin, LIAN Wenfeng, CHEN Yudong, WANG Lingjun, WANG Zhipeng, WANG Qiang, SHI Jianguo, LIU Tongwei, YIN Xiaosong, YUAN Haibo, BAI Xuqing, QIAO Gang, ZHANG Qian. Transurethral 2μm laser vaporesection for treatment of posterior urethral valves by ureteroscopy in pediatrics[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2015, 36(11): 1096-1098. DOI: 10.3969/j.issn.2095-5227.2015.11.010
Citation: HAN Gang, ZHANG Junyong, YANG Bin, LIAN Wenfeng, CHEN Yudong, WANG Lingjun, WANG Zhipeng, WANG Qiang, SHI Jianguo, LIU Tongwei, YIN Xiaosong, YUAN Haibo, BAI Xuqing, QIAO Gang, ZHANG Qian. Transurethral 2μm laser vaporesection for treatment of posterior urethral valves by ureteroscopy in pediatrics[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2015, 36(11): 1096-1098. DOI: 10.3969/j.issn.2095-5227.2015.11.010
shu

经尿道输尿管镜下2μm激光汽化切除术治疗小儿后尿道瓣膜症

Transurethral 2μm laser vaporesection for treatment of posterior urethral valves by ureteroscopy in pediatrics

    摘要
  • 摘要: 目的 探讨经尿道输尿管镜下2μm激光汽化切除术治疗小儿后尿道瓣膜症的临床效果。 方法 对2011年3月- 2014年12月在解放军第252医院接受经尿道输尿管镜下2μm激光汽化切除术治疗的27例小儿后尿道瓣膜症进行回顾性分析。本组病例均为男性，年龄(5.0±2.9)岁。采用F 8/9.8输尿管镜和2μm激光手术系统，在尿道的5点、7点处切开后尿道瓣膜，并将残余瓣膜汽化切除，术后1个月、3个月及6个月随访，观察其临床效果。 结果 全部病例顺利完成手术，随访治疗期间25例病情明显好转，单次手术成功率92.6%(25/27)；1例瓣膜残余，经二次手术病情好转；1例失访。 结论 应用经尿道输尿管镜下2μm激光汽化切除术治疗小儿后尿道瓣膜症出血少、围术期安全性高、操作简便，是较为理想的微创手术方法。

     

    Abstract: Objective To explore the efficacy of 2μ m laser vaporesection in treating pediatric posterior urethral valves (PUVs) by ureterscopy. Methods A total of 27 cases with PUVs who received 2μ m laser vaporesections were reviewed. All patients were male with a mean age of (5.0±2.9) years. The clinical efficacy was reviewed. Under monitoring by F8/9.8 ureteroscopy, incisions were carried at 5 and 7 o’ clock positions of PUVs, and then remnant valves were evaporated by 2μ m laser. Routine follow-ups were conducted at the 1st, 3rd, and 6th months. Results All operations were successfully performed. Of the 27 cases, 25 cases got satisfied results during follow-up with successful operation rate of 92.6% (25/27). 1 case received re-operation, and 1 case lost follow-up. Conclusion Transurethral 2μ m laser vaporesection by ureteroscopy is a superior micro-invasive surgery method for pediatrics with posterior urethral valves, with little blood loss, high safety, convenient operation and infrequent complications.

     

    • HTML全文
    • 参考文献(0)
    • 相关文章
    • 施引文献
  • 资源附件(0)

/

返回文章
返回
下载中心
    友情链接