CAJ | 학술논문

目的：探讨腔镜下与开放手术行会师术在后尿道断裂患者中的应用效果。方法选取2013年2月—2014年2月收治的58例后尿道断裂患者为研究对象，随机分为两组，每组29例。对照组在常规开放手术下进行会师术，实验组则在腔镜支持下实施会师术。观察两组手术时间、住院时间、术中出血量、术后性功能障碍发生率。结果实验组手术时间、术中出血量及住院时间明显少于对照组，差异有统计学意义（P<0.05)；实验组术后性功能障碍发生率为3.4%，明显低于对照组的20.7%，差异有统计学意义（P<0.05)。结论腔镜支持下行会师术用于后尿道断裂患者的疗效显著，手术时间较短、术中出血量少，术后不易发生性功能障碍，有利于患者快速恢复，值得推广应用。
목적：탐토강경하여개방수술행회사술재후뇨도단렬환자중적응용효과。방법선취2013년2월—2014년2월수치적58례후뇨도단렬환자위연구대상，수궤분위량조，매조29례。대조조재상규개방수술하진행회사술，실험조칙재강경지지하실시회사술。관찰량조수술시간、주원시간、술중출혈량、술후성공능장애발생솔。결과실험조수술시간、술중출혈량급주원시간명현소우대조조，차이유통계학의의（P<0.05)；실험조술후성공능장애발생솔위3.4%，명현저우대조조적20.7%，차이유통계학의의（P<0.05)。결론강경지지하행회사술용우후뇨도단렬환자적료효현저，수술시간교단、술중출혈량소，술후불역발생성공능장애，유리우환자쾌속회복，치득추엄응용。
Objective To explore the line of endoscopic and open surgical realignment after applying effects in patients with urethral rupture. Methods 58 cases of patients with posterior urethral rupture from February 2013 to February 2014 in our hospital, were randomly divided into two groups, 29 cases of each group. The control group received conventional open surgical realignment, supported by the experimental group received endoscopic realignment, the experimental group received endoscopic realignment. The operative time, hospitalization time, blood loss, postoperative incidence of sexual dysfunction of the two groups were observed. Results The experimental group operative time, amount of bleeding during operation and hospitalization time were significantly less than the control group (P<0.05); The experimental group incidence of postoperative sexual dysfunction was 3.4%, significantly lower than the control group 20.7% (P<0.05). Conclusion Endoscopic support downstream effects after realignment surgery for patients with urethral rupture significant, shorter operative time, less blood loss, less prone to sexual dysfunction after surgery, help patients quickly recover, worthy of promotion and application.