等离子电切联合球囊扩张导管治疗男性尿道狭窄的效果

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Abstract Objective To investigate the effect of plasma electroresection combined with balloon catheter in the treatment of male urethral stricture. Methods Eighty male patients with urethral stricture admitted to Characteristics Medical Center of Chinese PLA Rocket Force from January 2019 to June 2021 were divided into experimental group and control group with 40 patients in each group by random number table method. The experimental group was treated with plasma electroresection combined with balloon catheter fascia expander, and the control group was treated with simple balloon dilation. The following data were statistically analyzed, the operation time, time of getting out of bed, amount of bleeding during the operation, retention time of urinary tube, hospitalization time, urodynamic parameters before and after the operation, international Prostate Symptom Score (IPSS), Quality of Life Score (QOL) and surgical complications of patients in the experimental group and the control group. Results There was no significant difference between the experimental group and the control group in the time of getting out of bed, indwelling catheter and hospitalization. The operation time and blood loss in the experimental group were higher than those in the control group (P<0.05). Before operation, there was no significant difference in residual urine volume, maximum urinary flow rate and average urinary flow rate between the experimental group and the control group (P>0.05). After operation, the maximum urinary flow rate [(23.40±1.91) ml/s] and average urinary flow rate [(20.10±2.19) ml/s] in the experimental group were higher than those in the control group [(20.10±2.19) ml/s]and [(17.57±2.18) ml/s] (P<0.05). The residual urine volume [(9.27±5.51) ml] in the experimental group was lower than that in the control group [(16.87±8.53) ml] (P<0.05). After operation, the IPSS score [(7.15±1.16) points] and QOL score [(0.30±0.46) points] in the experimental group were lower than those in the control group [(9.87±1.93) points] and [(0.72±0.78) points] (P<0.05). After operation, the operative complication rate in the experimental group was 15.0%, which was not significantly different from that in the control group 7.50%. Conclusions Plasma electroresection combined with balloon dilatation catheter in the treatment of male urethral stricture can significantly improve the clinical symptoms and urodynamic parameters of patients.

Key words： plasma electroresection balloon dilatation catheter fascial dilator urethral stricture urinary function

Received: 28 October 2022

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	Articles by authors
	SUN Jiage
	SUN Bo
	HOU Bei
	YE Xuerong
	LIU Chuanhai
	GUO Hui
	ZHANG Runze
	LIU Dezhong
	ZHANG Xiaoyi

Cite this article:

SUN Jiage,SUN Bo,HOU Bei等. Effect of plasma electroresection combined with balloon dilated catheter on male urethral stenosis[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2023, 34(3): 210-213.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2023/V34/I3/210

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