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目的:探讨输尿管镜下尿道置管术治疗尿道球部断裂的方法与安全性。方法:回顾性分析应用输尿管镜下尿道置管术治疗前尿道断裂患者13例的临床资料。结果:拔管后正常排尿11例,一次性手术治愈占84.61%,最大尿流率(MFR)为(14.7±3.2)ml/s,平均手术时间为(17.7±3.2)min;术后尿道出血2例.占15.38%;6个月年后因尿道狭窄行开放手术1例.占7.69%。结论:在有效地控制治疗适应证的前提下,输尿管镜下尿道置管术治疗尿道球部断裂是安全、有效的方法。
Objective: To investigate the method and safety of ureteroscopic urethral catheterization in the treatment of urethral bulb rupture. Methods: The clinical data of 13 patients with urethral rupture treated by ureteroscopic urethral catheterization were retrospectively analyzed. Results: Normal excretion was found in 11 cases after extubation, 84.61% in one operation, 14.7 ± 3.2 ml / s in maximal flow rate (MFR) and 17.7 ± 3.2 min in postoperative urethral bleeding 2 cases, accounting for 15.38%; 1 case of open urethral stricture 6 months later, accounting for 7.69%. CONCLUSION: Ureteroscopic urethral catheterization is a safe and effective method for the treatment of urethral bulb rupture under the premise of effective control indications.