改良式腔镜下尿道会师手术治疗尿道断裂31例

孔东波; 江波涛; 邹伟; 饶志刚; 赵克栋; 郭宗华

doi:10.13201/j.issn.1001-1420.2019.12.017

改良式腔镜下尿道会师手术治疗尿道断裂31例

- 咸宁市中心医院湖北科技学院附属第一医院泌尿外科(湖北咸宁, 437100)
基金项目:
咸宁市中心医院同济咸宁医院院级科研项目（编号2016XYA006、2016XYA007）

详细信息

通讯作者: 江波涛,E-mail:doctorjbt@163.com

中图分类号: R699.6

收稿日期: 2018-07-30

Treatment of urethral rupture with ureteroscopic urethral realignment via a urethral sheath: report of 31 cases

- Department of Urology, Xianning Central Hospital, First Affiliated Hospital of Hubei University of Science and Technology, Xianning, Hubei, 437100, China

More Information

Corresponding author: JIANG Botao, E-mail: doctorjbt@163.com

Received Date: 30 July 2018

摘要

摘要: 目的：探讨尿道鞘内输尿管镜下尿道会师手术治疗尿道断裂的效果。方法：回顾性分析2011年1月~2018年5月我院收治的31例尿道断裂患者，采用尿道鞘内输尿管镜下尿道会师手术治疗，观察该手术治疗尿道断裂的效果。结果：所有患者均顺利完成手术，30例患者术后第5周开始尿道扩张1~4次，31例均恢复正常排尿，术后随访半年排尿满意，2例因尿道狭窄，再行狭窄切除术。结论：尿道鞘内输尿管镜下尿道会师手术微创优势明显，操作简单，疗效可靠。
- 尿道断裂 /
- 尿道鞘内 /
- 腔镜下改良式尿道会师术
Abstract: Objective: To study the clinical effect of ureteroscopic urethral realignment via a urethral sheath in the treatment of urethral rupture. Method: We retrospectively analysed 31 cases of urethral rupture admitted to our hospital from January 2011 to May 2018. Urethral realignment under ureteroscope in urethral sheath was used to observe and analyze the treatment of urethral rupture. Result: The operation was successfully accomplished in 31 cases and none experienced urinary extravasation. At 4 weeks after operation, the catheter was removed and all patients received regular urethral expansion within 6 months. Urethral stricture developed in 2 cases after half an year, so open urethroplasty was done.Conclusion: Ureteroscopic urethral realignment via a urethral sheath can keep the operative field clear, avoid intraoperative rinse extravasation, shorten the operation time, improve the operation success rate, and achieve satisfactory early clinical outcomes in the treatment of urethral rupture.
- urethral rupture /
- urethral sheath /
- urethral realignment by endoscopic technique

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