CAJ | 학술논문

目的探讨局麻改良腔镜下会师术早期治疗后尿道断裂的疗效.方法局麻下B超引导在耻骨上经皮膀胱穿刺造瘘,腔镜沿造瘘口进入膀胱,找到尿道内口,向尿道远端插入斑马导丝,随后从尿道外口进镜至尿道,寻找并将斑马导丝钳出尿道,再沿斑马导丝将导尿管引入膀胱,适度牵拉尿管,保持尿道连续性.结果采用该术式行早期治疗的11例后尿道断裂患者均获成功,手术时间平均25 min,均未出现明显手术并发症,麻醉效果良好.结论局麻改良腔镜下会师术早期治疗后尿道断裂具有安全、直观、快速、成功率高、并发症少等优点,可作为早期治疗后尿道断裂的首选方法.
목적 탐토국마개량강경하회사술조기치료후뇨도단렬적료효.방법 국마하B초인도재치골상경피방광천자조루,강경연조루구진입방광,조도뇨도내구,향뇨도원단삽입반마도사,수후종뇨도외구진경지뇨도,심조병장반마도사겸출뇨도,재연반마도사장도뇨관인입방광,괄도견랍뇨관,보지뇨도련속성.결과 채용해술식행조기치료적11례후뇨도단렬환자균획성공,수술시간평균25 min,균미출현명현수술병발증,마취효과량호.결론 국마개량강경하회사술조기치료후뇨도단렬구유안전、직관、쾌속、성공솔고、병발증소등우점,가작위조기치료후뇨도단렬적수선방법.
Objective To explore the efficacy of modified endoscopic urethral realignment under local anesthesia for the early treatment of posterior urethral disruption.Methods With the guidance of B ultrasound under local anesthesia,we inserted an endoscope into the bladder through an artificial bladder fistula established by percutaneous puncture on the pubis,searched for the internal urethral meatus and inserted the zebra guidewire toward the distal urethral,then inserted the endoscope into the urethral via the meatus,drew the guidewire out of the urethral,and then pulled the catheter into the bladder along the guidewire,and last placed the catheter properly and maintained urethral continuity.Results The procedure was successfully performed on 11 patients with posterior urethral disruption.The average surgical duration was 25 minutes; no obvious surgical complications were found ; and anesthesia effect was satisfied.Conclusions Modified endoscopic urethral realignment under local anesthesia for early treatment of posterior urethral disruption is safe and rapid and has direct vision,a high rate of success,and fewer complications.It can be used as the first choice for the early treatment of posterior urethral disruption.