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岭南现代临床外科 ›› 2010, Vol. 10 ›› Issue (03): 218-219.

• 临床论述 • 上一篇    下一篇

腔镜下处理闭合性尿道损伤(附16例报告)

梁胜军   

  1. 广州医学院荔湾医院
  • 通讯作者: 梁胜军

Urethrascopic treatment of closed urethral injury ( 16 cases)

  • Received:2010-04-01 Revised:2010-05-27 Online:2010-06-20 Published:2010-07-14

摘要:

[摘要] 目的: 探讨腔镜在处理闭合性尿道损伤中的应用。方法: 回顾分析我院自2001年6月至2009年6月16例闭合性尿道损伤患者通过腔镜下处理的临床资料。结果:16例患者均通过腔内治疗获得成功,术后随访6个月~2年, 12例患者排尿顺畅,尿线较前无明显变细,4例患者,其中3例骨盆骨折伤,1例尿道球部完全断裂,拔除尿管1周-2月后不同程度出现尿线变细,经尿道造影检查发现不同程度的尿道狭窄,予行尿道扩张2-4个月后排尿顺畅。本组全部患者无勃起功能障碍发生。结论:腔镜下处理闭合性尿道损伤具有疗效好、创伤小、手术时间短、并发症少等特点。

关键词: 尿道镜

Abstract:

[Abstract] Objective: To investigate the application of urethrascopic realignment in closed urethral injury. Methods: A retrospective study of 16 cases of closed urethral injury from June 2001 to June 2009 by endoscopic treatment was carried out . Results: 16 patients were successfully treated by endoscope, were followed for 6 months to 2 years, 12 patients with smooth urination, urine no apparent difference than before, 4 patients, 3 cases of pelvic fracture injuries, 1 cases of urethral bulb completely broken removed catheter 1 week -2 months after the emergence of different levels of urinary thinning, transurethral imaging revealed varying degrees of urethral stricture, urethral expansion to 2-4 months after the smooth urination. All patients in this group without erectile dysfunction. Conclusion: Urethrascopic treatment is effective to closed urethral injury with little trauma, shorter surgery time and fewer complications and so on.

Key words: urethrascope