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目的探讨与评价腔镜技术尿道会师术急诊治疗外伤性尿道断裂的疗效与安全性。方法 2008年6月～2010年5月,应用腔镜技术尿道会师术急诊治疗外伤性尿道断裂17例,对其手术时间,并发症等进行分析。结果 17例患者均一次手术成功,平均手术时间15min。术后3周后拔除导尿管后自行排尿通畅,16例术后随访6～12个月,8例有不同程度的尿道狭窄,其中5例及时行2～6次尿道扩张术后排尿通畅,3例行尿道内切开术,术后恢复顺利。无尿瘘、阴茎勃起功能障碍等并发症发生。结论腔镜下尿道会师术,出血少,减少阳痿、尿瘘等并发症发生率,手术时间短、恢复快,可作为尿道断裂的首选方式,值得临床推广应用。
Objective To evaluate and evaluate the efficacy and safety of endoscopic urethral surgery in the treatment of traumatic urethral rupture. Methods From June 2008 to May 2010, 17 cases of traumatic urethral rupture were treated by endoscopic urethral mastectomy emergency surgery. The operative time and complications were analyzed. Results 17 cases were successful in one operation, the average operation time 15min. After 3 weeks of operation, the ureter was unobstructed after removal of the catheter, and 16 cases were followed up for 6 to 12 months. There were 8 cases of urethral stricture in varying degrees, of which 5 cases received urinary patency immediately after 2-6 times of urethral dilatation. 3 cases of urethrotomy, postoperative recovery smoothly. No urinary fistula, penile erectile dysfunction and other complications. Conclusion Endoscopic urethral surgery, less bleeding, reducing the incidence of impotence, urinary fistula and other complications, short operative time, rapid recovery, urethral rupture can be used as the preferred method, worthy of clinical application.