【摘 要】：目的 分析应用硬性输尿管镜联合等离子柱状电极治疗尿道狭窄的效果。方法 以2007年1月～2017年1月收治的82例尿道狭窄患者为研究对象，以患者所选术式进行分组，对照组采取输尿管镜联合筋膜扩张器治疗，研究组采取硬性输尿管镜联合等离子柱状电极治疗，对比两组治疗前后IPSS评分； 随访1年，比较两组的IIEF-5评分。结果 治疗后，两组IPSS评分均明显下降，研究组的评分下降幅度更大，评分差异有统计学意义(P<0.05)；治疗1年后，研究组患者的IIEF-5评分显著高于对照组，治疗对患者的性功能影响更小，差异有统计学意义(P<0.05)。结论 应用硬性输尿管镜联合等离子柱状电极治疗尿道狭窄，治疗效果理想，对患者的性功能影响小，高效安全，值得推广。

    【关键词】：硬性输尿管镜；等离子柱状电极；尿道狭窄；IPSS评分；IIEF-5评分

    Abstract： Objective Analyze the effect of rigid ureteroscopy combined with plasma columnar electrodes for the treatment of urethral stricture.Methods 82 patients with urethral stricture admitted from January 2007 to January 2017 were enrolled in this study. The patients were selected according to the surgical method. The control group was treated with ureteroscope and fascial dilator. The study group was treated with rigid ureteroscopy combined with plasma. Columnar electrode therapy was used to compare the IPSS scores before and after treatment in the two groups； follow-up of 1 year was performed to compare the IIEF-5 scores of the two groups. Results After treatment ......