中国性科学
中國性科學
중국성과학
THE CHINESE JOURNAL OF HUMAN SEXUALITY
2015年
8期
43-46
,共4页
输尿管镜微创术%开放性尿道吻合术%尿道损伤%并发症%疗效
輸尿管鏡微創術%開放性尿道吻閤術%尿道損傷%併髮癥%療效
수뇨관경미창술%개방성뇨도문합술%뇨도손상%병발증%료효
Minimally invasive ureteroscopy%Open urethral anastomosis%Urethral injury%Com-plications%Effects
目的：观察输尿管镜微创术与开放性尿道吻合术在临床治疗尿道损伤的疗效。方法：临床纳入尿道损伤患者40例，根据入院后手术方案的不同分为研究组与对照组。研究组手术方案选择为输尿管镜微创术，对照组手术方案选择为开放性尿道吻合术，每组20例。观察两组患者治疗情况（包括手术时间、住院时间、膀胱冲洗、留置导管、术中出血等）、术后相关并发症发生情况（包括术后出血、尿道狭窄、勃起障碍、尿瘘、尿失禁等）以及治疗有效率等。结果：研究组患者治疗总有效率为95.0％，对照组患者治疗总有效率为90.0％，差异无显著性（P ＜0.05）。但研究组术后最大尿流率（MFR）为（15.1±3.6）mL／s，对照组术后最大 MFR（10.2±2.5）mL／s，差异有显著性（P ＜0.05）。研究组手术时间、住院时间短于对照组，术中出血少于对照组，差异有显著性（P ＜0.05）。并发症方面，研究组尿道狭窄、勃起障碍、尿失禁的发生率均明显低于对照组，差异有显著性（P ＜0.05）。结论：输尿管镜微创治疗尿道损伤的疗效确切，患者恢复较快，并发症较少，值得推广。
目的：觀察輸尿管鏡微創術與開放性尿道吻閤術在臨床治療尿道損傷的療效。方法：臨床納入尿道損傷患者40例，根據入院後手術方案的不同分為研究組與對照組。研究組手術方案選擇為輸尿管鏡微創術，對照組手術方案選擇為開放性尿道吻閤術，每組20例。觀察兩組患者治療情況（包括手術時間、住院時間、膀胱遲洗、留置導管、術中齣血等）、術後相關併髮癥髮生情況（包括術後齣血、尿道狹窄、勃起障礙、尿瘺、尿失禁等）以及治療有效率等。結果：研究組患者治療總有效率為95.0％，對照組患者治療總有效率為90.0％，差異無顯著性（P ＜0.05）。但研究組術後最大尿流率（MFR）為（15.1±3.6）mL／s，對照組術後最大 MFR（10.2±2.5）mL／s，差異有顯著性（P ＜0.05）。研究組手術時間、住院時間短于對照組，術中齣血少于對照組，差異有顯著性（P ＜0.05）。併髮癥方麵，研究組尿道狹窄、勃起障礙、尿失禁的髮生率均明顯低于對照組，差異有顯著性（P ＜0.05）。結論：輸尿管鏡微創治療尿道損傷的療效確切，患者恢複較快，併髮癥較少，值得推廣。
목적：관찰수뇨관경미창술여개방성뇨도문합술재림상치료뇨도손상적료효。방법：림상납입뇨도손상환자40례，근거입원후수술방안적불동분위연구조여대조조。연구조수술방안선택위수뇨관경미창술，대조조수술방안선택위개방성뇨도문합술，매조20례。관찰량조환자치료정황（포괄수술시간、주원시간、방광충세、류치도관、술중출혈등）、술후상관병발증발생정황（포괄술후출혈、뇨도협착、발기장애、뇨루、뇨실금등）이급치료유효솔등。결과：연구조환자치료총유효솔위95.0％，대조조환자치료총유효솔위90.0％，차이무현저성（P ＜0.05）。단연구조술후최대뇨류솔（MFR）위（15.1±3.6）mL／s，대조조술후최대 MFR（10.2±2.5）mL／s，차이유현저성（P ＜0.05）。연구조수술시간、주원시간단우대조조，술중출혈소우대조조，차이유현저성（P ＜0.05）。병발증방면，연구조뇨도협착、발기장애、뇨실금적발생솔균명현저우대조조，차이유현저성（P ＜0.05）。결론：수뇨관경미창치료뇨도손상적료효학절，환자회복교쾌，병발증교소，치득추엄。
Objectives:To observe the clinical effects of minimally invasive ureteroscopy and open urethral anastomosis on urethral injury.Methods:40 patients with urethral injury were selected and divided into study group and control group based on different surgical plan after admission.Patients in study group took minimally invasive ureteroscopy while patients in control group took open urethral anastomosis,with 20 cases in each group.Treatment status (surgery time,hospitalization time,bladder irrigation,indwelling catheters and blood loss)and postoperative complications (postoperative bleeding,urethral stricture,erectile dysfunction,urinary fistula,and incontinence), and treatment effects of patients in both groups were observed.Results:The overall efficiency of the study group was 95.0%,while 90.0% in control group,without statistically significant difference (P >0.05).The MFR of the study group was (1 5.1 ±3.6)mL/s,while (1 0.2 ±2.5)mL/s for the control group,with statistically significant difference (P <0.05).Operation time and hospitalization time,and blood loss of the study group are less than con-trol group,with significant difference (P <0.05).The complications,urethral stricture,erectile dysfunction and incontinence of study group were significantly lower than the control group,with statistically significant difference (P<0.05).Conclusion:The effect of minimally invasive ureteroscopy on urethral injury is exact,with fast recovery and fewer complications,which is worth promotion.
