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目的:探讨输尿管镜下尿道会师术在尿道损伤中的应用价值及疗效。方法:对尿道损伤患者15例采用输尿管镜下置入导尿管行尿道会师术,恢复尿道连续性,保留导尿管3周。结果:13例获得成功,2例改开放手术。术后9例排尿通畅,不需尿道扩张,5例尿道狭窄,行尿道扩张1~6个月,1例因不按照医嘱扩张,二期行开放吻合手术。随访3~12个月,15例均排尿通畅,无性功能障碍患者。结论:应用输尿管镜行尿道断裂会师术在技术上是可行的,且操作简单、安全、创伤小,效果好。
Objective: To investigate the value and efficacy of ureteroscopic urethral masseter in urethral injury. Methods: Fifteen cases of urethral injury were treated with ureteroscopic urethral catheterization to restore the continuity of the urethra, and the catheter was retained for 3 weeks. Results: 13 cases were successful, 2 cases changed to open surgery. Nine patients had clear voiding, no urethral dilation, 5 cases of urethral stricture, urethral dilatation 1-6 months, 1 case did not follow the doctor’s orders to expand, two open line anastomosis. All patients were followed up for 3 to 12 months. All 15 patients had voiding and asexual dysfunction. Conclusion: Ureteroscopy urethral rupture division technically feasible, and simple, safe, less trauma, the effect is good.