[The usefulness of laser in the treatment of urethral stenosis].
[The usefulness of laser in the treatment of urethral stenosis].
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发表时间：
2008
影响因子：
0.5
通讯作者：
J. Moreno Sierra;S. P. Prieto Nogal;I. Galante Romo;L. Fernández Montarroso;J. C. López Corral;A. Silmi Moyano
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文献类型：
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作者：
J. Moreno Sierra;S. P. Prieto Nogal;I. Galante Romo;L. Fernández Montarroso;J. C. López Corral;A. Silmi Moyano
前言光学尿路切开术是Sachse于1973年提出的，其远期复发率为75-80%。这刺激了人们寻找复发率更低的新疗法。尝试了几种类型的激光器：NdYAG激光，KTP激光，Ar激光，Ho：YAG激光，二极管激光，激光二极管，激光二极管等.自70年代末以来，各种类型的激光被用于治疗输尿管狭窄。目的描述激光能量在治疗输尿管狭窄，主要是复发性狭窄中的作用，并分析目前不同类型激光(半导体、Nd：YAG、Ho、Ar等)治疗输尿管狭窄的经验。方法通过Medline检索对文献进行系统回顾，并对所选文献进行详细分析。结论1)激光治疗尿路狭窄是一种有效、有效、安全的替代方法，至少在中期内可以替代光切开术，但目前尚无证据表明激光治疗效果优于光切开术。2)治疗方法的选择依赖于外科医生，没有一种技术明显优于其他技术。3)有必要进行前瞻性的长期研究，患者数量更多，随访时间更长。4)激光技术广泛，并不是所有中心都可以使用。
INTRODUCTION Optical urethrotomy was introduced by Sachse in 1973 and it has a registered long-term recurrence rate of 75-80%. This stimulated the search for new therapies with less recurrences. Several types of laser were tried: Nd:YAG, KTP, Argon, Ho:YAG, diode,... Since the end of the '70s various types of laser are being used for the treatment of ureteral stenosis. OBJECTIVES To describe the usefulness of the laser energy in the treatment of ureteral stenosis, mainly recurrent stenosis and to analyze the current experience with various types of laser (diode, nd:yag, holmium, argon,...) METHODS We performed the systematic review of the bibliography, based on a medline search, and a detailed analysis of the selected articles. CONCLUSIONS 1) The use of laser in the treatment of urethral stenosis is on the a valid, effective, and safe alternative option to optical urethrotomy, at least in the mid term; nevertheless, it has not demonstrated to date being better than that. 2) The election of treatment is surgeon dependent and, and no single technique has demonstrated to be clearly better than the others. 3) Prospective long-term studies with larger numbers of patients and longer follow-up are necessary. 4) Laser technology is extensive and it is not available in all centers.