目的探讨局麻下腔内会师术治疗球部尿道损伤的效果。方法局麻下对19例球部尿道损伤的病人进行腔内会师术。结果19例均获成功,术后随访6个月~7年,9例行尿道扩张术3~4次后可正常自行排尿;8例行尿道扩张6个月排尿趋正常;2例拔除尿管后,扩张困难,行尿道瘢痕切除术。结论局麻下腔内会师治疗球部尿道损伤,一期恢复尿道连续性,创伤小,宜实施,恢复快,是治疗球部尿道损伤的有效的微创方法之一。 Objective To investigate the effect of local anesthesia in the treatment of urethral injuries in the inferior bulb. Methods Under local anesthesia, 19 cases of ball urethral injury in patients with intracameral division. Results All the patients were successful in 19 cases. The patients were followed up for 6 months to 7 years. Nine patients underwent urethral dilatation for 3 to 4 times and were able to urinate normally. Eight patients underwent urethral dilatation 6 months urination tended to be normal. After the expansion difficulties, urethral scar resection. Conclusions Under the local anesthesia, the treatment of bulb urethral injury in the inferior posterior cavity of the local anesthesia is one of the effective ways to treat the urethral injury of the bulb.