尿道镜在急性闭合性尿道损伤治疗中的应用价值（附22例报告）

目的：探讨尿道镜在急性闭合性尿道损伤治疗中的应用价值。方法：对因骑跨伤致闭合性尿道球部损伤患者13例和骨盆骨折致后尿道损伤患者9例，采用电视尿道镜下留置导尿管行尿道会师术。结果：球部损伤患者12例会师成功，1例进镜失败；后尿道损伤患者5例会师成功，4例失败。随访0．5～5年，15例治愈，1例复发狭窄，1例失访。结论：采用尿道镜下尿道会师术治疗前尿道损伤安全合理，创伤小，疗效好，应成为首选方法；治疗后尿道损伤则需慎重，应根据伤情试行腔镜治疗。

Usage of urethralscope in treating acute closed urethral injuries(Reprots of 22 cases)

Obejective:To explore the value of urethralscope in treating acute closed urethral injuries.Methods:13 cases of patients with anterior urethral injuries and 9 cases of patients with postorior urethral injuries, all had an operation of urethral realignment after the catheter was placed with urethralscope.Results:Among the 13 cases of patients with bubourethral injuries, 12 cases succeeded after operation, and 1 case failed. Among the 9 cases of patients with posterior urethral injuries, 5 cases succeeded after operation and 4 cases failed. During the coming 6 months or 5 years, 15 cases cured, and 1case relapsed.Conclusions:Urethral realignment with urethralscope is a safe and effective way to treat anterior urethral injuries. According to the state of illness, you may try it in treating posterior urethral injuries.