68例闭合性后尿道损伤患者行可视膀胱镜联合输尿管镜治疗的临床分析  

A clinical analysis of visual cystoscope combined with ureteroscope in treatment of 68 patients with closed posterior urethral injury

作　　者：俞同炳 邵四海[2] 

机构地区：[1]杭州市萧山区中医院泌尿外科,浙江杭州311200 [2]浙江省湖州市第一人民医院泌尿外科,浙江湖州313000

出　　处：《中国现代医生》2015年第13期38-40,43,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2012KYB199)

摘　　要：目的：探究可视膀胱镜联合输尿管镜对闭合性后尿道损伤的临床治疗效果。方法对2008年9月--2013年9月住院部收治的闭合性后尿道损伤患者68例展开临床对比研究，依据治疗方式的不同分组，每组34例，对照组采用输尿管镜下术式治疗，研究组采用可视膀胱镜联合输尿管镜术式治疗，分析总结两组患者的临床疗效及安全性。结果两组患者的手术时间、术中出血量、住院时间、排尿症状评分、残余尿量、尿流率、生活质量指数评分比较差异有统计学意义（t=3.89、3.62、2.88、9.16、16.16、15.88、15.01，P〈0.05），总并发症发生率比较差异有统计学意义（χ2=12.93，P〈0.05）。结论可视膀胱镜联合输尿管镜对闭合性后尿路损伤治疗效果显著，具有微创、手术耗时短、恢复迅速、并发症发生率低等优势，安全有效，具有较高的临床应用价值。Objective To explore the clinical therapeutic effects of visual cystoscope combined with ureteroscope in the treatment of closed posterior urethral injury. Methods A total of 68 patients with closed posterior urethral injury who were admitted to inpatient department from September 2008 to September 2013 were compared and studied clinically. They were assigned to two groups according to different treatment approaches, with 34 patients in each group. The con-trol group received the operation under ureteroscope, while the research group received the operation under visual cys-toscope combined with ureteroscope. Clinical efficacy and safety between the two groups of patients were analyzed and summarized. Results Surgical time, bleeding volume during surgery, hospitalization time, scores of CPSI-U, residual urine volume, urine flow rate and life quality index in the two groups were compared, and the differences were signifi-cant （t=3.89, 3.62, 2.88, 9.16, 16.16, 15.88 and 15.01 respectively, P〈0.05）. Total rate of complications in the two groups was compared, and the difference was significant （χ2=12.93, P〈0.05）. Conclusion Visual cystoscope combined with ureteroscope in the treatment of closed posterior urethral injury has a magnificent curative effect, and shows its edges of minimal invasion, short surgical time, rapid recovery and low rate of complications, which is safe, effective and has a great clinical value.

关 键 词：闭合性后尿道损伤 输尿管镜 可视膀胱镜 尿道会师术 

分 类 号：R699[医药卫生—泌尿科学]