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目的:探讨尿道镜治疗新鲜尿道损伤的方法。方法:18例新鲜尿道损伤患者在硬膜外麻醉后,把有凹槽镜鞘的尿道镜经尿道向膀胱徐徐推进,冲净尿道内积血和血块,将Foley’s气囊导尿管顺槽送入膀胱,然后退出凹槽镜鞘,加压包扎。术后10～18天拔掉导尿管定期行尿道扩张术。结果:16例患者拔去导尿管后能自行排尿,经1～8年随防表明,排尿通畅,性功能良好;1例因腹部并发症转院治疗;1例术后拔导尿管流血不止,再行开放性止血吻合术。成功率为88.9％。结论:腔内治疗法损伤小,安全有效,可避免患者受开放性手术之苦。
Objective: To explore the method of urethroscopic treatment of fresh urethral injury. Methods: Eighteen cases of fresh urethral injury were treated with epidural anesthesia. The urethra with concave scleroscope was slowly pushed to the bladder through the urethra. The urethral hemorrhage and blood clot were washed and the Foley’s balloon catheter was inserted into the bladder Bladder, and then exit the groove mirror sheath, pressure bandaging. 10 to 18 days after removal of the catheter removed urethral catheterization regularly. Results: After removing the catheter, 16 patients were able to urinate on their own. After 1 to 8 years of follow-up, urination was smooth and sexual function was good. One patient was transferred to hospital for abdominal complication. One patient had bleeding after catheterization , Then open hemostatic anastomosis. The success rate was 88.9%. Conclusion: Endovascular treatment of small injury, safe and effective, to avoid patients suffering from open surgery.