Abstract：Objective： To explore the efficacy and safety of three different operative methods in the treatment of ureteral stricture (US). Method: Ninety US patients admitted to our hospital from January 2015 to January 2018 were divided into balloon dilatation group, open operation group and laparoscopic operation group. The operative time, intraoperative bleeding volume, postoperative hospitalization time, postoperative feeding time, short-term and long-term clinical efficacy and postoperative complications were compared among the three groups. Result: The operation time, postoperative hospitalization time and postoperative feeding time were shorter, and intraoperative bleeding volume was less in the balloon dilatation group than those in the laparoscopic group and the open operation group (P<0.05), and the operation time, postoperative hospitalization time and postoperative feeding time were shorter, and intraoperative bleeding volume was less in the laparoscopic group than those in the open operation group (P<0.05). The total effective rate in the balloon dilatation group was significantly lower than that in the laparoscopic group and the open operation group (P<0.05), but there was no significant difference between the laparoscopic group and the open operation group (P>0.05). There was no significant difference between the balloon dilatation group and the laparoscopic group (P>0.05). Conclusion: The short-term efficacy of balloon dilatation, open surgery and laparoscopic surgery for US was comparable, but balloon dilatation and laparoscopic surgery were superior to open surgery in terms of operation time, intraoperative bleeding volume, postoperative hospital stay, postoperative feeding time and complications, while open surgery and laparoscopic surgery were more effective in long-term outcomes. According to the specific conditions of patients, we should choose reasonable surgical methods.
刘任平, 许婷, 徐苓傈. 三种不同术式治疗输尿管狭窄的疗效及安全性分析[J]. 微创泌尿外科杂志, 2019, 8(2): 88-92.
LIU Renping, XU Ting, XU Lingli. Efficacy and safety of three different surgical methods for ureteral stricture. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2019, 8(2): 88-92.
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