Transurethral Plasma Electro-incision Clinical Effect Analysis For The Complex Posterior Urethral Stricture

ObjectivesBy comparing the transurethral plasma electro-incision and open surgery in theclinical effect of complex posterior urethral stricture, evaluate the clinical value oftwo kinds of operation method, surgery for complex posterior urethral stricturetreatment mode selection provides the basis.MethodsChoose between January2010and January2013in qinghai province people’shospital between80cases due to the complexity of the complex posterior urethralstricture,40cases were taken open surgery;40cases were taken transurethral plasmaelectro-incision. Postoperative follow-up of12months, several statistics of twogroups of patients with intraoperative and postoperative clinical indicators: operationtime, intraoperative blood loss, length of hospital stay time, postoperative urethralexpansion times, the cure rate and Qmax. Statistical analysis, compared two groupsof clinical curative effect.Results1. The two groups of experimental data of this study show that the operation time,intraoperative blood loss, postoperative hospitalization days, number ofpostoperative urethral expansion, for this four aspects, plasma electro-incision groupwere better than open surgery group (p <0.05).2. Two groups of experimental data of this study show that: in the first3monthsafter surgery of the Qmax, plasma electro-incision group compared with opensurgery group, which there was no significant difference (p>0.05).3. Two groups of patients with postoperative follow-up of12months urethralexpansion times, divided into three periods according to the time, two groups ofpostoperative urethral expansion times are the extension of time, gradually reducethe trend, with the most frequent postoperative3months.(1)The same period compared between groups, plasma electro-incision group is less than open surgerygroup, the difference was statistically significant (P <0.05);(2) Open surgery groupcompared different times, the more time early, the more urethra expansion, thedifference was statistically significant (P <0.05);(3) Plasma electro-incisioncompared group of different times, the more time early, the more urethra expansion,the difference was statistically significant (P <0.05).4. This study two groups of data shows the cure rate of plasma electro-incision inthe urethral stricture, and there was no difference in the open surgery (P>0.05).Conclusions1. The operation time, intraoperative blood loss, postoperative hospitalization days,number of postoperative urethral expansion, for this four aspects, plasmaelectro-incision group were better than open surgery group. In the first3months aftersurgery of the Qmax, the two groups was no significant difference. But comparedwith open surgery, plasma cutting has the operation is simple, less complications, lowrecurrence rate, small damage, the characteristics of the healing fast, can be used asnot complicated by urethral diverticulum and urinary fistula first choice for thetreatment of complex posterior urethral stricture.2. With the time-lapse of operation, the number of two groups of postoperativeurethral expansion,were gradually reduce with the most frequent postoperative3months, the same time, plasma cutting operation can obviously reduce postoperativeurethral expansion frequency and frequency, can alleviate the painefficiently.