输尿管镜下双路会师术治疗尿道完全断裂伤  

Treatment of urethral complete broken injury with double ureteroscopic urethral realignment

作　　者：周振玉 

机构地区：[1]江苏省宿迁市第一人民医院泌尿外科,223800

出　　处：《中国医师进修杂志》2015年第5期328-330,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 探讨输尿管镜下双路会师术治疗尿道完全断裂伤的可行性及效果.方法 回顾性分析26例闭合性尿道完全断裂伤患者行输尿管镜下双路会师术治疗的临床资料.结果 26例患者均经尿道造影证实为尿道完全性断裂,行经尿道联合经膀胱输尿管镜下会师术,均成功放置导尿管,手术时间25 ～ 53（39.0±12.4） min,术后6周拔除导尿管,拔除导尿管后排尿通畅20例,随诊并常规尿道扩张2次,最大尿流率17 ～ 28 ml/s;6例发生尿道狭窄,2例经定期尿道扩张、3例经尿道冷刀内切开、1例经尿道狭窄段切除吻合后排尿通畅.结论 输尿管镜下双路会师术治疗尿道完全断裂伤安全可行,恢复尿道连续性效果良好.Objective To investigate the efficacy and safety of treatment of urethral complete broken injury with double ureteroscopic urethral realignment.Methods A clinical data of 26 cases of urethral complete broken injury who had underwent double ureteroscopic urethral realignment were retrospectively analyzed.Results The patients were confirmed by urinary tract imaging for urethral complete broken injury.The catheters were inserted successfully into bladders and removed at 6 weeks after operations.The operative time was 25-53 （39.0 ± 12.4） min.Twenty patients gained fluent urination after removal of catheter,with maximum urine flow 17-28 ml/s after 6 weeks.Six cases had urethral stricture.Among them,2 cases received urethral expansion,3 cases received transurethral cold knife incision,and 1 case received urethral anastomosis.All of them gained fluent urination.Conclusion Treatment of urethral complete broken injury with double ureteroscopic urethral realignment is feasible,superior and reproducible.

关 键 词：泌尿道疾病 输尿管镜 尿道会师术 

分 类 号：R699.6[医药卫生—泌尿科学]