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目的:观察并分析输尿管镜下尿道会师术治疗尿道损伤的临床疗效。方法:选取2010年5月-2014年5月本院确诊为尿道损伤且自愿接受输尿管镜下尿道会师术治疗的患者70例,回顾性分析其围手术期以及随访时的数据资料。结果:70例患者均1次手术成功,均未出现尿瘘、尿失禁以及勃起功能障碍;平均手术时间(23.17±6.58)min,术中出血量(108.25±45.35)ml,灌注液体量(345.27±26.79)ml,住院时间(3.27±1.06)d;92.86%(65/70)经尿道造影检查显示尿道断端愈合理想;4.26%(3/70)显示尿道狭窄,2.85%(2/70)显示尿道变细,经对症治疗后均可自行排尿。结论:尿道损伤患者行输尿管镜下尿道会师术治疗的临床效果显著,具有临床推广应用与研究价值。
Objective: To observe and analyze the clinical efficacy of ureteroscopic urethral surgery in the treatment of urethral injury. Methods: From May 2010 to May 2014, 70 patients with urethral injury who were diagnosed as urethral injury under voluntary ureteroscope urethra treatment were selected from May 2010 to May 2014. The data of perioperative period and follow-up were retrospectively analyzed. Results: All the 70 patients were successful in one operation. No urinary fistula, urinary incontinence and erectile dysfunction were found. The mean operation time was (23.17 ± 6.58) min, the intraoperative blood loss was 108.25 ± 45.35 ml, the volume of perfusion fluid was 345.27 ± 26.79) ml, length of hospital stay (3.27 ± 1.06) d, 92.86% (65/70) transurethral angiography showed satisfactory urethral healing; 4.26% (3/70) showed urethral stricture and 2.85% (2/70) Narrow urethra, after symptomatic treatment can be their own voiding. Conclusion: The urethral injury urethral urethral mastectomy has significant clinical effect, with clinical application and research value.