内镜下尿道会师术与尿道端端吻合术治疗尿道球部完全断裂的比较  

Study of comparing endoscopic realignment with end-to-end urethroplasty in the treatment of complete bulbar urethra disruption

作　　者：高金龙[1] 傅强[1] 赖载礼[1] 钟玉蛟[1] 张建宗[1] 张益生[1] 张鹏[1] 黄世勇[1] 

机构地区：[1]福建省厦门市中医院泌尿外科,厦门361009

出　　处：《福建医药杂志》2013年第4期106-108,共3页Fujian Medical Journal

摘　　要：目的对比内镜下尿道会师术与尿道端端吻合术治疗尿道球部完全断裂的疗效。方法 2005年1月至2012年9月,诊断为尿道球部完全断裂的患者共24例,其中13例接受内镜下尿道会师术(组1),11例接受尿道端端吻合术(组2)。对两组患者手术前、后的临床资料进行统计学分析。结果术前会阴部大血肿、严重尿外渗的发生率,组1均为0%,组2分别为63.6%和36.4%(组间比较,P<0.05)。组1、组2术后尿道扩张时间的中位数分别为3.0个月和0.5个月(组间比较,P<0.05);二次手术率分别为23.1%和0%(组间比较,P>0.05)。结论尿道端端吻合术治疗尿道球部完全断裂的疗效优于内镜下尿道会师术。Objective To compare the therapeutic effect in patients diagnosed as complete bulbar urethral disruption after accepting endoscopic realignment and end-to-end urethroplasty. Methods From January 2005 to September 2012, there were 24 patients diagnosed as complete bulbar urethra disruption. Among the total, 13 cases accepted endoscopic realignment （group 1）, and 11 cases accepted end-to-end urethroplasty （group 2）. Statistic results before and after operation were analyzed in the two groups. Results Before operation, the incidences of huge perineal hematomas and severe extravasation of urine were 0% in group 1, 63.6% and 36.4% in group 2 （P〈0.05）. After operation, the median time of urethral dilatation was 3.0 month in group 1 and 0.5 month in group 2 （P〈0.05）. The incidence of second operation was 23.1% in group 1 and 0% in group 2 （P 〉0.05） . Conclusion The therapeutic effect of end-to-end urethroplasty is better than that of endoscopic realignment.

关 键 词：球部尿道 尿道会师术 尿道端端吻合术 尿道镜 输尿管镜 

分 类 号：R699[医药卫生—泌尿科学]