腔内微创与开放性手术治疗尿道损伤的效果比较

A comparative study of endoscopic realignment and open urethroplasty for traumatic urethral in- juries

目的评价腔内微创治疗尿道损伤的临床价值。方法回顾性分析腔内微创治疗尿道损伤12例（A组）及开放性尿道会师术与尿道修补术14例（B组）的临床资料，就两组手术时间、术中出血量、术后住院时间、术后平均最大尿流率及并发症等指标进行比较。结果A组在手术时间、手术中出血量、术后住院时间及并发症方面明显优于B组（P〈0．05）。结论腔内微创治疗尿道损伤具有手术时间短，术中创伤小，并发症少等优点，效果优于开放手术。

Objective To evaluate the clinical value of endoscopic realignment for traumatic ure- thral injuries. Methods The clinical data of 12 cases of endoscopic realignment（ group A） and 14 cases of open urethral realignment and urethral repair（ group B）were analyzed retrospectively. Operation time, intr- aoperative blood loss, hospital stay, maximum urinary flow rate and complications were compared between the groups. Results In group A,the operation time,intraoperative blood loss, hospital stay and complica- tions were all better than those in group B （ P 〈 0.05 ）. Conclusion Compared with open urethroplasty, endoscopic realignment for traumatic urethral injuries has the advantages of short operative time, minimal invasion and few complications.