【摘要】目的探讨电切法治疗尿道肉阜的临床疗效。方法采用电切法治疗18例尿道肉阜患者,术中将腹腔镜10 mm trocar改建的电切镜外操作鞘作为工作通道,观察手术时间、术中出血量、术后住院时间及并发症。结果18例手术均获成功,平均手术时间8 min(5~18 min),术中平均出血量5 mL(3~10 mL),术后平均住院时间3.5 d(3~5 d)。随访3~6个月,无尿道狭窄及复发。结论电切法治疗尿道肉阜安全、有效,且具有微创、手术时间短、恢复快等优点。
【Abstract】 ObjectiveTo explore the clinical efficacy of electroexcision in the treatment of urethral caruncle. MethodsElectroexcision was performed in 18 cases with urethral caruncle. The external operation sheath of resectoscope reconstructed with 10mm trocar was taken as the working channel during operation. The operative duration, intraoperative blood loss, hospital stay and complications were observed. ResultsSurgery was performed successfully in 18 cases. The mean operative duration, operative blood loss and postoperative hospital stay were 8 min (range:5~18 min), 5 mL(range:3~10 mL) and 3.5 days (range:3~5 days) respectively. ConclusionElectroexcision is a safe and effective procedure for the treatment of urethral caruncle, and has the advantages of minimal invasion, reduced operative duration and fast postoperative recovery.