输尿管镜下尿道会师术(附15例报告)

Ureteroscopic urethral realignment:report of 15 cases

目的:探讨输尿管镜下尿道会师术在尿道损伤中的应用价值及疗效.方法:对尿道损伤患者15例采用输尿管镜下置入导尿管行尿道会师术,恢复尿道连续性,保留导尿管3周.结果:13例获得成功,2例改开放手术.术后9例排尿通畅,不需尿道扩张,5例尿道狭窄,行尿道扩张1～6个月,1例因不按照医嘱扩张,二期行开放吻合手术.随访3～12个月,15例均排尿通畅,无性功能障碍患者.结论:应用输尿管镜行尿道断裂会师术在技术上是可行的,且操作简单、安全、创伤小,效果好.

Objective:To investigate the clinical application value and efficacy of ureteroscopic urethral realignment in the treatment of urethral injury.Methods:Fifteen cases with urethral injury were performed urethral realignment under the guidance of ureteroscope to place the urethral catheter.Catheterization was kept 3 weeks to achieve urethra continuity.Results:Thirteen cases were successful,2 patinents were conversion to open surgeries.9 cases urinate unobstructed without urethral dilation after operation.5 cases postoperative urethral stricture,performed urethral dilation for 1-6 months.1 patient had performed second-stage open urethral anastomosis due to perform refuse performed urethral dilation.All the cases were followed-up for 3-12 months,no dysuria and sexual dysfunction occurred.Conclusions:Ureteroscopic urethral realignment is feasible,simple and safe for urethral rupture with advantages as less trauma and better effect.