不同腔内会师法在治疗尿道损伤中的应用  

Treatment of urethral disruption with a variety of endoscopic realignment

作　　者：卜强[1] 林大春[1] 姚震[1] 

机构地区：[1]江苏大学附属人民医院泌尿外科,江苏镇江212002

出　　处：《江苏大学学报（医学版）》2006年第4期317-318,322,共3页Journal of Jiangsu University：Medicine Edition

摘　　要：目的:探讨不同腔内会师法在尿道断裂中的应用价值。方法:回顾性分析24例不同腔内会师法治疗尿道外伤的临床资料。结果:24例手术中治愈21例(87.5%);良好3例(12.5%);失败1例(4.2%)。结论:腔镜下尿道会师术手术时间短、创伤小、恢复快、效果好,是优于传统开放会师术的理想方式,不完全尿道断裂可首选,完全尿道断裂或不稳定骨盆骨折者应选用双软镜法更适宜。Objective ： To evaluate the efficiency of treatment of urethral disruption with a variety of endoscopic realignment. Methods： We retrospectively analyzed clinical data of 24 cases treated with a variety of endoscopic realignment for urethral disruption. Results： Twenty one patients were cured（87.5% ）, 3 patients improved （ 12.5% ）, and 1 other patient suffered failure（4.2% ）. Conclusion： For less operation time, minor trauma, rapid recovery and high efficiency, endoscopic realignment which was a better choice than traditional open surgery should be the primary treatment for incomplete urethral disruption. We prefer flexible ureteroscopy for complete urethral disruption or unstable pelvic fracture.

关 键 词：腔内治疗 尿道断裂 尿道会师术 

分 类 号：R699.6[医药卫生—泌尿科学]