摘要：目的探讨直视下钬激光内切开术治疗尿道狭窄的疗效。方法对26例尿道狭窄患者进行直视下钬激光内切开术，术后观察其疗效并进行随访。结果26例均手术成功。术后随访3个月～3年，24例均自主排尿通畅；2例出现再次狭窄，再次内切开术后，自主排尿通畅。结论钬激光内切开术治疗尿道狭窄是一种安全可靠的微创手术，创伤小，术后痛苦小，并发症少，且可多次手术。但对复杂性尿道狭窄(尿道狭窄长度>3 cm)疗效不佳，应选用其它手术方法。

    关键词：尿道狭窄；钬激光；内切开术

    Efficacy of Treatment of Urethral Stricture by Holmium Laser Urethroscopic Endotomy under Direct Vision:

    Analysis of 26 Cases

    LI Tian-lu ,CHEN He-ping, YANG Yi,LIU Tong,XUE Cheng-zuo,ZHAO Qing-zhi

    (Department of Urology, The People's Hospital of Tongnan County, Chongqing 402660，China)

    Abstract：Objective To investigate the efficacy of treatment of urethral stricture by holmium laser urethroscopic endotomy under direct vision. MethodsTwenty-six patients with urethral strictureweretreafect byholium laserurethroscopic endotomy under direct vision ......