输尿管镜下尿道会师术治疗尿道骑跨伤的技巧探讨(附15例报告)  

Surgical techniques of Realignment of urethra with straddle injury under the guidance of ureteroscope(Report of 15 cases)

作　　者：杨军昌[1] 董焱鑫[1] 钱云程[1] 朱明德[1] 高晓康[1] 霍双进 曾锐[1] 李东[1] 

机构地区：[1]兰州军区乌鲁木齐总医院泌尿外科,乌鲁木齐830000

出　　处：《临床泌尿外科杂志》2012年第3期217-219,共3页Journal of Clinical Urology

摘　　要：目的:探讨输尿管镜下尿道会师术治疗尿道骑跨伤的手术技巧。方法:对15例尿道骑跨伤患者采用输尿管镜下尿道会师术,并随访观察手术效果。结果:14例一次手术置管成功,平均手术时间8.9min,1例失败,行开放手术。术后12例患者拔出尿管后排尿通畅,随访6～12个月,无尿道狭窄发生。3例术后3个月发生尿道狭窄,经过3～6个月的尿道扩张,排尿正常,随访1年,无再狭窄发生。结论:输尿管镜下尿道会师术宜作为尿道骑跨伤的首选治疗方法,诊断性导尿可以放弃,以尿道前壁正常黏膜位为标识是成功的关键。Objective：To probe into the surgical techniques of realignment of urethra with straddle injury under the guidance of ureteroscope. Methods： 15 cases with straddle injury underwent realignment of the urethra under the guidance of ureteroscope. And closely follow-up programs were performed. Results： 14 operations were accomplished successfully, the average operation time was 8.9 min, 1 case underwent open surgery after indwelling catheter had failed. 12 cases were to be unobstructed after removing the catheter. While 3 cases manifested dysuria 3 months after the operations, and were cured by urethral dilatation for 3-6 months. Conclusions：The using of ureteroscope inrealignment of urethra should be used as the primary strategy for patients with straddle injury, indwelling catheter for diagnosis may be abandoned, With the anterior wall of the urethra normal mucosa as identity is the key to success.

关 键 词：尿道会师术 骑跨伤 输尿管镜 

分 类 号：R699.6[医药卫生—泌尿科学]