输尿管镜下尿道会师术治疗尿道骑跨伤分析  

The experience of realignment of urethra with straddle injury under the guidance of ureteroscope

作　　者：李良[1] 郭旭[1] 孙文学[1] 张波[1] 

机构地区：[1]北京市昌平区医院,102200

出　　处：《首都食品与医药》2016年第10期33-34,共2页Capital Food Medicine

摘　　要：目的探讨输尿管镜下尿道会师术治疗尿道骑跨伤的临床价值。方法对27例尿道骑跨伤患者保留导尿失败,采用输尿管镜引导放置导尿管,随访观察手术的效果。结果27例中,8例联合耻骨上膀胱穿刺造瘘术会师成功;1例因尿道完全断裂,镜下会师失败后,改行开放尿道吻合术,其余18例采用输尿管镜下尿道会师术均1次成功。术后均获随访0.5-1年,除3例排尿明显变细、需定期尿道扩张外,其余患者未出现尿道狭窄、尿失禁、性功能障碍等并发症。结论输尿管镜下尿道会师术手术时间短、创伤小、恢复快、效果好,是治疗尿道骑跨伤的有效方法。值得推广应用。Objective To evaluate the clinical therapeutic efficacy of realignment of urethra with straddle injury under the guidance of ureteroscope. Methods Twentyseven cases with straddle injury who failed to input the urethral catheter,were underwent realignment of the urethra under the guidance of ureteroscope.And closely follow-up programs were performed. Results 8 of the 27 operations which received the urethral realignment combined with suprapubic puncture fistulation were accomplished successfully.One case had urethral complete break which led to the failure of microscopic, thus switched to the open urethral anastomosis. Ureteroscopic realignment was successfully performed at one time in the other 18 cases. The postoperative follow-up was made in all the cases for 0.5~1 year. Except that 3 patients had the emiction thinningzed and needed regular urethral sounding, the rest did not have any complications such as urethral stricture,urinary incontinence, and sexual dysfunction, etc. Conclusion Ureteroscopic realignment had shorter operation time, smaller trauma, faster recovery and better effect, which is an effective treatment on urethral straddle injury.

关 键 词：尿道会师术 骑跨伤 输尿管镜 

分 类 号：R699[医药卫生—泌尿科学]