中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
13期
38-40,43
,共4页
闭合性后尿道损伤%输尿管镜%可视膀胱镜%尿道会师术
閉閤性後尿道損傷%輸尿管鏡%可視膀胱鏡%尿道會師術
폐합성후뇨도손상%수뇨관경%가시방광경%뇨도회사술
Closed posterior urethral injury%Ureteroscope%Visual cystoscope%Urethral reconstruction
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(字2=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。
目的：探究可視膀胱鏡聯閤輸尿管鏡對閉閤性後尿道損傷的臨床治療效果。方法對2008年9月~2013年9月住院部收治的閉閤性後尿道損傷患者68例展開臨床對比研究，依據治療方式的不同分組，每組34例，對照組採用輸尿管鏡下術式治療，研究組採用可視膀胱鏡聯閤輸尿管鏡術式治療，分析總結兩組患者的臨床療效及安全性。結果兩組患者的手術時間、術中齣血量、住院時間、排尿癥狀評分、殘餘尿量、尿流率、生活質量指數評分比較差異有統計學意義(t=3.89、3.62、2.88、9.16、16.16、15.88、15.01，P<0.05)，總併髮癥髮生率比較差異有統計學意義(字2=12.93，P<0.05)。結論可視膀胱鏡聯閤輸尿管鏡對閉閤性後尿路損傷治療效果顯著，具有微創、手術耗時短、恢複迅速、併髮癥髮生率低等優勢，安全有效，具有較高的臨床應用價值。
목적：탐구가시방광경연합수뇨관경대폐합성후뇨도손상적림상치료효과。방법대2008년9월~2013년9월주원부수치적폐합성후뇨도손상환자68례전개림상대비연구，의거치료방식적불동분조，매조34례，대조조채용수뇨관경하술식치료，연구조채용가시방광경연합수뇨관경술식치료，분석총결량조환자적림상료효급안전성。결과량조환자적수술시간、술중출혈량、주원시간、배뇨증상평분、잔여뇨량、뇨류솔、생활질량지수평분비교차이유통계학의의(t=3.89、3.62、2.88、9.16、16.16、15.88、15.01，P<0.05)，총병발증발생솔비교차이유통계학의의(자2=12.93，P<0.05)。결론가시방광경연합수뇨관경대폐합성후뇨로손상치료효과현저，구유미창、수술모시단、회복신속、병발증발생솔저등우세，안전유효，구유교고적림상응용개치。
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.
