使用銩雷射輸尿管切開術治療輸尿管狹窄
莊光達1,2、黃一勝1,2,3 、蔡德甫1,2
新光吳火獅紀念醫院  外科部 泌尿科
2輔仁大學醫學院  泌尿學部
3台北醫學大學   泌尿學部
Thulium laser ureterotomy for treatment of Ureteral stenosis
Guang-Dar Juang1、Thomas I-sheng Hwang1,2,3、Te-Fu Tsai1
1Division of Urology, Department of Surgery, Shin-Kong WHS Memorial Hospital, Taipei,Taiwan
2 School of Medicine, Fu-Jen Catholic University, New Taipei City, Taiwan
3 School of Medicine, Taipei Medical University, Taipei, Taiwan
 
Purpose:
e describes the preliminary experience of a new method by Thulium laser for failed ureteral stenotic treatment.
Materials and Methods:
Between 2012 and 2014, a total of  9 patients of failed previous treatment for ureteral stenosis were managed by Thulium Laser endoureterotomy. An 8-10 watts Thulium laser power was used to incise open the stenotic ureter by 300-microm fiber through ureteroscopy.  Double J catheter of 8 Fr. were used for post-incisional stenting. The mean follow-up time was 8.4 months. Successful treatment was defined as no obstructive uropathy on an imaging study, being free of associated symptoms, at follow-up period.
Results:
Successful treatment was observed in 6 patients (66.7%). Three patients (33.3%) had recurrent ureteral stricture, receiving long-term double J stenting. No procedural-related complications have been noted.
Conclusions:
In our limited experience, Thulium laser ureterotomy is a safe and feasible method for ureteral stenosis with failed previous treatment. 
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    TUA秘書處1
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    台灣泌尿科醫學會
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    非討論式海報
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    2015-06-04 23:24:00
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    2015-06-04 23:26:10
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