用输尿管镜建立双通道治疗后尿道完全断裂的临床疗效

Establishment of double channels by ureteroscope in the treatment of posterior completely urethral rupture

目的：探讨急诊内镜下尿道会师术治疗后尿道完全断裂的临床疗效。方法：收治后尿道完全断裂患者5 例，均使用输尿管镜建立双通道治疗，观察患者的手术时间、出血量、术后恢复情况。结果：5 例患者均置管成功，无中转开放手术；手术时间10～60 min，平均28 min；出血20～200 mL，平均80 mL；术后留置尿管3～4 周，1 例发生尿道狭窄，经尿道扩张后，症状缓解，均无勃起功能障碍。结论：用输尿管镜建立双通道治疗后尿道完全断裂效果显著，安全性高，能够有效降低并发症发生率。

Objective:To explore the clinical curative effect of urethral realignment under emergency endoscopy in the treatmentof posterior completely urethral rupture.Methods:5 patients with posterior completely urethral rupture were selected.They weregiven establishment of double channels by ureteroscope.The operation time,bleeding amount and postoperative recovery ofpatients were observed.Results:5 patients were catheter successfully without conversion to open surgery.The operation time was10 to 60 minutes,and the average was 28 minutes.The bleeding was 20 to 200 mL,and the average was 80 mL.The postoperativeindwelling catheter was 3 to 4 weeks.1 case had urethral stricture.After urethral dilatation,the symptoms were relief,and they wereno erectile dysfunction.Conclusion:Establishment of double channels by ureteroscope in the treatment of posterior completelyurethral rupture has a significant effect.The safety is high.It can effectively reduce the incidence of complications.