输尿管镜行尿道会师术在尿道球部损伤患者中疗效观察(附18例报告)

Treatment of ureteroscope realignment of ruptured bulbous urethral (report of 18 cases)

目的观察应用输尿管镜行球部损伤尿道会师术的疗效。方法18例尿道球部损伤患者应用输尿管镜急诊行尿道会师术,同既往22例常规行膀胱切开会师术患者进行回顾性分析,比较术后平均最大尿流率(MUF)、平均膀胱残余尿量、尿道狭窄发生情况。结果应用输尿管组患者术后8周平均最大尿流率、平均膀胱残余尿量、尿道狭窄发生情况同对照组相比差异有显著性(P<0.05)。结论应用输尿管镜行尿道会师术比常规会师术疗效好,能有效减少尿道狭窄的发生。

[Objective]To investigate the effect of ureteroscope realignment of ruptured bulbous urethra. 18 cases of ruptures bulbous urethra were received the treatment of ureteroscope realignment (ureteroscope group). 22 cases of ruptures bulbous urethra were given the treatment of realignment through bladder (control group). The data of average maxim urine flow rate (MUR), average remain urine of bladder and urethral strictures were retrospectively analyzed. After operation 8 weeks, there were significant differences of average maxim urine flow rate(MUF), average remain urine of bladder and urethral strictures between them was significant(P <0.05). [Conclusion] The effect of ureteroscope realignment is better than that of realignment through bladder. The treatment can decrease the cases of urethral strictures.