腔镜下处理闭合性尿道损伤（附16例报告）

[摘要] 目的： 探讨腔镜在处理闭合性尿道损伤中的应用。方法: 回顾分析我院自2001年6月至2009年6月16例闭合性尿道损伤患者通过腔镜下处理的临床资料。结果：16例患者均通过腔内治疗获得成功，术后随访6个月～2年, 12例患者排尿顺畅，尿线较前无明显变细，4例患者，其中3例骨盆骨折伤，1例尿道球部完全断裂，拔除尿管1周-2月后不同程度出现尿线变细，经尿道造影检查发现不同程度的尿道狭窄，予行尿道扩张2-4个月后排尿顺畅。本组全部患者无勃起功能障碍发生。结论：腔镜下处理闭合性尿道损伤具有疗效好、创伤小、手术时间短、并发症少等特点。

Urethrascopic treatment of closed urethral injury ( 16 cases)

[Abstract] Objective: To investigate the application of urethrascopic realignment in closed urethral injury. Methods: A retrospective study of 16 cases of closed urethral injury from June 2001 to June 2009 by endoscopic treatment was carried out . Results: 16 patients were successfully treated by endoscope, were followed for 6 months to 2 years, 12 patients with smooth urination, urine no apparent difference than before, 4 patients, 3 cases of pelvic fracture injuries, 1 cases of urethral bulb completely broken removed catheter 1 week -2 months after the emergence of different levels of urinary thinning, transurethral imaging revealed varying degrees of urethral stricture, urethral expansion to 2-4 months after the smooth urination. All patients in this group without erectile dysfunction. Conclusion: Urethrascopic treatment is effective to closed urethral injury with little trauma, shorter surgery time and fewer complications and so on.