中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2015年
5期
328-330
,共3页
泌尿道疾病%输尿管镜%尿道会师术
泌尿道疾病%輸尿管鏡%尿道會師術
비뇨도질병%수뇨관경%뇨도회사술
Urologic diseases%Ureteroscopes%Urethral realignment
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.
目的 探討輸尿管鏡下雙路會師術治療尿道完全斷裂傷的可行性及效果.方法 迴顧性分析26例閉閤性尿道完全斷裂傷患者行輸尿管鏡下雙路會師術治療的臨床資料.結果 26例患者均經尿道造影證實為尿道完全性斷裂,行經尿道聯閤經膀胱輸尿管鏡下會師術,均成功放置導尿管,手術時間25 ～ 53(39.0±12.4) min,術後6週拔除導尿管,拔除導尿管後排尿通暢20例,隨診併常規尿道擴張2次,最大尿流率17 ～ 28 ml/s;6例髮生尿道狹窄,2例經定期尿道擴張、3例經尿道冷刀內切開、1例經尿道狹窄段切除吻閤後排尿通暢.結論 輸尿管鏡下雙路會師術治療尿道完全斷裂傷安全可行,恢複尿道連續性效果良好.
목적 탐토수뇨관경하쌍로회사술치료뇨도완전단렬상적가행성급효과.방법 회고성분석26례폐합성뇨도완전단렬상환자행수뇨관경하쌍로회사술치료적림상자료.결과 26례환자균경뇨도조영증실위뇨도완전성단렬,행경뇨도연합경방광수뇨관경하회사술,균성공방치도뇨관,수술시간25 ～ 53(39.0±12.4) min,술후6주발제도뇨관,발제도뇨관후배뇨통창20례,수진병상규뇨도확장2차,최대뇨류솔17 ～ 28 ml/s;6례발생뇨도협착,2례경정기뇨도확장、3례경뇨도냉도내절개、1례경뇨도협착단절제문합후배뇨통창.결론 수뇨관경하쌍로회사술치료뇨도완전단렬상안전가행,회복뇨도련속성효과량호.
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.
