双膀胱镜下尿道会师术21例

Treatment of Posterior Urethral Disruption by Dual Cystoscopic Urethral Realignment(a Report of 21 cases)

目的：探讨腔镜下尿道会师术在早期治疗后尿道断裂的应用价值。方法：回顾分析21例双膀胱镜下尿道会师术早期治疗后尿道断裂临床资料。结果：21例中19例手术成功,随访3个月-2年,其中排尿通畅,尿线粗,半年后无需行尿道扩张14例;排尿通畅,但需间隔1-2个月行尿道扩张维持4例;1例手术后未定期尿道扩张,半年后出现尿道狭窄,遂开放手术行狭窄段切除、尿道吻合术后治愈。结论：双膀胱镜下尿道会师术手术时间短,创伤小,出血少,恢复快,效果良好,是明显优于开放尿道会师术的方法。

Objective：To discuss the applicational value of dual cystoscopic urethral realignment in the early treatment of posterior urethral disruption.Methods： The clinic data of 21 cases of posterior urethral disruption treated by dual cystoscopic urethral realignment were restropectively analyzed.Result： 19 cases of posterior urethral disruption treated by cystoscopic urethral realignment were successfu,and there were 2 failures.Followed up 3 months to 2 years,14 cases with no need for further treatment,urinary flow rate was normal;4 cases received the treatment of urethral expansion during the follow-up period of 1 to 2 months;1 case had dysuria because of secondary urethral stricture treated by urethral expansion after 6 months and were cured with segmented resection of the stenosed urethra and end-to-end anastomosis.Conclution： For less operation time,minor trauma,rapid recovery and high efficiency,dual cystoscopic realignment which was a better choise than traditionary open surgery should be used for urethral disruption.