《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (07): 615-616.

• 专题　神经源性膀胱及不尿路管理 • 上一篇    下一篇

钬激光外括约肌切开术治疗逼尿肌-外括约肌协同失调7例报道

鞠彦合1,2; 廖利民1,2; 李东1,2; 付光1,2; 熊宗胜1,2; 史文博1,2   

  1. 1.中国康复研究中心北京博爱医院泌尿外科,北京市 100068;2.首都医科大学康复医学院,北京市 100068
  • 收稿日期:2007-04-26 出版日期:2007-07-01 发布日期:2007-07-01

Treatment of Detrusor External Sphincter Dyssynergia using Sphincterotomy with Holmium Laser: 7 Cases Repor

JU Yan-he,LIAO Li-min, LI Dong, et al   

  1. Department of Urology, BeijingCharity Hospital, China Rehabilitation Research Center, School of Re- habilitation, Capital Medical University, Beijing 100068, China
  • Received:2007-04-26 Published:2007-07-01 Online:2007-07-01

PDF (PC)

被引次数

2

摘要： 目的探讨钬激光外括约肌切开术治疗逼尿肌-外括约肌协同失调(DSD)的技术方法、疗效和并发症。方法对7例接受钬激光外括约肌切开术的神经源性DSD男患者进行回顾性分析。结果术中及术后无1例患者需要输血。7例患者术后在症状学、实验室、影像学和尿动力学指标等方面均获得不同程度的改善。1例术后勃起功能受影响。所有患者无需再次手术。结论钬激光外括约肌切开术治疗DSD具有出血少、安全、疗效确切的优点,对有适应症的、经选择的患者不失为一好方法。

关键词: 钬激光, 括约肌切开, 逼尿肌-外括约肌协同失调(DSD)

Abstract: Objective To explore the technique,efficacy and complications of external sphincterotomy with Holmium laser for the treatment of detrusor external sphincter dyssynergia (DSD). Methods 7 male cases with neurogenic DSD who received the procedure were reported. Results All patients got significant improvement after the operation in symptoms,laboratory,imaging and urodynamic index. No one required transfusion. 1 case lost the erection. There was no need of re-operation during the follow-up. Conclusion External sphincterotomy with Holmium laser for the treatment of DSD shows the advantages of less bleeding,safety and good effectiveness for the well selected patients.

Key words: Holmium laser, sphincterotomy, detrusor external sphincter dyssynergia