中国内镜杂志2017，Vol.23Issue(1)：15-19,5.DOI:10.3969/j.issn.1007-1989.2017.01.003
膀胱软镜在骨盆骨折后尿道狭窄患者中的应用及疼痛耐受性研究
Clinical application and pain tolerance of lfexible cystoscopy in pelvic fracture urethral distraction defects stricture
金重睿 1撒应龙 1张炯 1傅强 1徐月敏1
作者信息
- 1. 上海交通大学附属第六人民医院 泌尿外科，上海 200233
- 折叠
摘要
Abstract
Objective To study the value of flexible cystoscopy in diagnosing posterior urethral strictures resulting from pelvic fracture and the pain score of the examination. Methods Between 2014 and 2015, 120 male patients with pelvic fracture urethral distraction defect were evaluated by cystoscopy before surgery. In this study, flexible cystoscopy was used in 87 patients, 33 patients received conventional rigid cystoscopy. The cystoscopy was introduced into the posterior urethra and the area was evaluated for the length of the proximal urethra and any possible fistulas, false passages, calculi or displacement of the posterior urethra. The patient’s pain feeling was recorded during the examination, 24 hrs after cystoscopy examination. The pain feeling result was achieved by visual analogue pain scale. Results Severe allergic reaction or obvious discomfort did not occur in any patients after cystoscopy. By comparing the data obtained from lfexible cystoscopy to those from conventional urethrography, the rate of detection in other abnormalities was higher in lfexible cystoscopy than in conventional urethrography. 21, 5, 7 and 5 patients were detected with calculus, posterior urethral structure damage, false passage and ifstula respectively. In comparison, the abnormalities were only observed in 3, 2, 3 and 1 patients respectively through conventional urethrography imaging. However, the pain feeling of the flexible cystoscopy is better than the convenional rigid cystoscopy. The statistical difference was found in the pain feeling score during the examination and later after the examination. Conclusions Flexible cystoscopy is a safe and valuable procedure in the evaluation of the posterior urethra in patients with pelvic fracture urethral distraction defect before surgery.关键词
骨盆骨折/后尿道损伤/尿道狭窄/膀胱软镜Key words
pelvic fracture/urethral injury/posterior urethra stricture/lfexible cystoscopy分类
医药卫生引用本文复制引用
金重睿,撒应龙,张炯,傅强,徐月敏..膀胱软镜在骨盆骨折后尿道狭窄患者中的应用及疼痛耐受性研究[J].中国内镜杂志,2017,23(1):15-19,5.
