输尿管镜下尿道会师术治疗尿道损伤疗效观察（附18例报告）

Observation of the Efficacy of Ureteroscopic Urethral Reunion Operation in the Treatment of U-rethral Injury （Report of 18 Cases）

目的 探讨输尿管镜下尿道会师术治疗尿道损伤的方法与疗效。方法 回顾性分析2005年4月至2013年1月应用输尿管镜下尿道会师术治疗尿道损伤患者18例的临床资料。结果 18例患者中11例为球部尿道损伤，均会师成功，7例为膜部尿道损伤，6例会师成功，1例失败，随访6～36个月，2例膜部尿道损伤患者出现尿道狭窄，2例出现勃起功能障碍。结论 应用输尿管镜行腔内尿道会师术，具有损伤小，并发症少，恢复快，手术操作简单等优点，是治疗尿道损伤安全有效的方法。

Objective] To explore the methods and efficacy of ureteroscopic urethral reunion operation in the treatment of urethral injury .[Methods]Clinical data of 18 patients with urethral injury undergoing uretero‐scopic urethral reunion operation were analyzed retrospectively .[Results] Among 18 patients ,11 patients were bulbar urethral injury and underwent the operation successfully ,and 7 patients were membranous ure‐thral injury in which 6 patients underwent the operation successfully and 1 patient failed .All patients were fol‐lowed up for 6 to 36 months .Two patients with membranous urethral injury developed urethral injury .Two patients appeared erection dysfunction .[Conclusion] Urethral reunion operation with ureteroscope has advan‐tages such as small injury ,less complication ,rapid recovery and simple procedure .Therefore ,it is an effective method for urethral injury .