时适，黄文军齐齐哈尔市第一医院泌尿外一科 黑龙江齐齐哈尔　161000

尿道损伤早期腔内输尿管镜治疗的效果研究

时适，黄文军
齐齐哈尔市第一医院泌尿外一科 黑龙江齐齐哈尔161000

目的 研究早期腔内输尿管镜治疗尿道损伤的临床效果。方法 方便选取2013年1月—2015年12月期间，该院收治的48例尿道损伤患者作为研究对象。患者根据手术方式进行分组：21例应用腔内输尿管镜治疗为观察组，27例应用传统开放性手术治疗者为对照组，观察和比较两组患者的手术时间、术后恢复时间、术后住院时间与术后并发症。结果 两组患者术后均恢复自主排尿，观察组的手术时间、术后恢复时间与术后住院时间均较对照组明显缩短（P＜0.05）；观察组的并发症率为14.29%，明显低于对照组的22.22%（P＜0.05）。结论 尿道损伤早期应用腔内输尿管镜治疗安全有效，术后并发症少且恢复快，值得推广应用。

腔内微创技术；输尿管镜；尿道损伤

［Abstract］Objective To study the early intraluminal lithotripsy urethral injury clinical effect.Methods Convenient selection January 2013— December 2015 period,48 cases of urethral injury patients admitted to our hospital were selected for the study.Patients were grouped according to surgical procedures：21 cases underwent intraluminal lithotripsy observation group,27 cases underwent traditional open surgery for the treatment group,the operative time,postoperative recovery time, postoperative hospital stay and postoperative complications of two groups were compared.Results The postoperative recovery was spontaneous voiding observation group operative time,postoperative recovery time and postoperative hospital stay was significantly shorter than the control group（P＜0.05）；the observation group complication rate was 14.29%,significantly 22.22%lower than the control group（P＜0.05）.Conclusion Early application of intraluminal urethral injury lithotripsy is safe and effective,fewer complications and quicker recovery,should be widely applied.

［Key words］Endovascular techniques；Ureteroscopy；Urethral injury

尿道损伤主要是由于医源性或意外外伤导致，以闭合性损伤为主，较少出现开放性损伤，患者常表现为尿道狭窄、尿道断裂及尿道挫裂等［1］。尿道挫裂伤多可自行痊愈，无需采取特殊处理措施，但尿道断裂伤多较严重，需尽早采取手术处理。传统开放性手术治疗尿道损伤的创伤较大，术后康复缓慢，且并发症较多，患者的接受度较低。该文回顾分析了2013年1月—2015年12月期间，该院48例尿道损伤患者的手术治疗情况，采用回顾性队列研究比较分析了早期腔内输尿管镜治疗情况与传统开放性手术的疗效与优劣，旨在评价输尿管镜治疗的临床优势，现报道如下。……