尿道拖入术及尿道吻合术治疗外伤性后尿道狭窄的临床分析

The clinical analysis of treating traumatic stricture of posterior urethra with pull-through operation and urethral anastomosis

目的:探究对外伤性后尿道狭窄病例中使用尿道拖入术及尿道吻合术治疗的疗效。方法:随机抽取在2010年1月-2015年1月于我科室进行外伤性后尿道狭窄的病例48例,将其分为研究组和对照组两组,每组24例,两组分别使用尿道拖入术加尿道吻合术和腔镜尿道狭窄扩张术治疗。对治疗后的效果及相关指标进行测评。结果:研究组的临床总有效率(91.7%)明显优于对照组(70.8%)(P<0.05),具有显著性差异;同时,研究组手术时间、住院时间、术中出血量均明显大于对照组(P<0.05)。结论:尿道拖入术及尿道吻合术能有效治疗外伤性后尿道狭窄,虽然手术创伤大,但术后恢复良好,术后效果明显优于腔镜治疗,值得推广。

Objective： To explore the curative effect of treating traumatic stricture of posterior urethra with pull-through operation and urethral anastomosis. Methods：48 patients with traumatic stricture of posterior urethra treated in our section from January, 2010 to January, 2015 were selected randomly, divided into research group and control group, 24 cases for each group, the research group treated with pull-through operation and urethral anastomosis, the control group treated with endoscopic dilation for urethral stricture. Evaluating the therapeutic effect and relevant indexes. Results：The clinical total effective rate of the research group （91.7%） is obviously superior to that of control group （70.8%）（P〈0.05）,having significant difference; Meanwhile, the operation time.hospital stay. intraoperative blood loss of the research group are significantly larger than that of control group （P〈0.05）. Conclusion： Pull-through operation and urethral anastomosis can effectively treat traumatic stricture of posterior urethra, having a good recovery after operation and its postoperative effect is evidently superior to endoscopic treatment in spite of a big surgical trauma,worthy to be promoted.