中国医学前沿杂志(电子版)Issue(5):142-144,3.
输尿管镜下行尿道会师术治疗尿道断裂42例报告
Ureteroscopy downstream urethral realignment report 42 cases of urethral rupture
刘永胜 1李崇巍 1王鹏 1杜维利1
作者信息
- 1. 保定市第二医院 泌尿外科,河北 保定071051
- 折叠
摘要
Abstract
ObjectiveTo investigate the treatment of urethral realignment ureteroscopy downstream clinical effects urethral rupture.MethodsFrom January 2010 to November 2012 the hospital admitted 42 patients with urethral rupture. The postoperative diagnosis of urethral rupture in 22 cases, 20 cases of posterior urethral rupture, and the patient had no bladder rupture, no abdominal visceral injury. Only one case of patients with varying degrees of shock performance, 6 patients with lower limb fractures.ResultsOf the 42 patients had successful surgery. After four weeks after surgery, 36 patients extubated urination; six patients patients after 1~6 months of conventional urethral dilation, urination is normal, no urinary ifstula and incontinence patients. 8 weeks after surgery, the patient's urine lfow rate detection, 37 patients maximum lfow rate of greater than 16 ml/s, and the remaining 5 patients, the maximum lfow rate of 10~16 ml/s. 3~12 months of follow-up were normal urination, no residual urine and erectile dysfunction.ConclusionUrethral realignment urethral rupture advantages:①Surgical procedure is relatively simple, safe , satisfactory results;②Erectile dysfunction and urethral stricture fewer complications;③Faster recovery, shorter hospital stay;④Erectile nerves and blood vessels can be oppressed rapidly reduced. It can be seen ureteroscopy downstream urethral realignment is the preferred method of treatment of urethral rupture, worthy of promotion.关键词
输尿管镜/尿道会师术/尿道断裂/临床效果Key words
Ureteroscopy/Urethral realignment/Urethral rupture/Clinical effects引用本文复制引用
刘永胜,李崇巍,王鹏,杜维利..输尿管镜下行尿道会师术治疗尿道断裂42例报告[J].中国医学前沿杂志(电子版),2014,(5):142-144,3.