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输尿管镜下尿道置管治疗尿道球部断裂疗效观察(附13例报告)
引用本文:李宏岩,李海,张茁,周裔.输尿管镜下尿道置管治疗尿道球部断裂疗效观察(附13例报告)[J].临床泌尿外科杂志,2011,26(9):660-661.
作者姓名:李宏岩  李海  张茁  周裔
作者单位:1. 吉林大学中日联谊医院泌尿外科,长春,130033
2. 吉林大学第四医院(长春市一汽总医院)泌尿外科
摘    要:目的:探讨输尿管镜下尿道置管术治疗尿道球部断裂的方法与安全性。方法:回顾性分析应用输尿管镜下尿道置管术治疗前尿道断裂患者13例的临床资料。结果:拔管后正常排尿11例,一次性手术治愈占84.61%,最大尿流率(MFR)为(14.7±3.2)ml/S,平均手术时间为(17.7±3.2)min;术后尿道出血2例,占15:38%;6个月年后因尿道狭窄行开放手术1例,占7.69%。结论:在有效地控制治疗适应证的前提下,输尿管镜下尿道置管术治疗尿道球部断裂是安全、有效的方法。

关 键 词:尿道球部断裂  输尿管镜  尿道置管术

Ureteroscopic Management of Bulbous Urethral Disruption Placing Catheter (Report of 13 Cases)
Hongyan LI,Hai LI,Zhuo ZHANG,Yi ZHOU.Ureteroscopic Management of Bulbous Urethral Disruption Placing Catheter (Report of 13 Cases)[J].Journal of Clinical Urology,2011,26(9):660-661.
Authors:Hongyan LI  Hai LI  Zhuo ZHANG  Yi ZHOU
Institution:(Deprtment of Urology China-Japan Union Hospital of Jllin University, Changchun, 130033 ,China ;2Deprtment of Urology,the Fourth Hospital of J ilin University)
Abstract:Objective:To investigate the approach and safety of ureteroscopic management of bulbous urethral disruption placing catheter. Methods:13 cases with bulbous urethral disruption were placed catheter via urethra using ureteroscopy. Clinical data were analyzed retrospectively. Results:11 of 13 cases obtained normal urination after extubation, one stage successful rate was 84.61 %0 (11/13). Better maximum flow rate of urine was(14.7 ± 3. 2) ml/s, and the average time for whole surgery was(17.7 ± 3.2)min. Removing stricture and end to end reanasto'- mosis was done in 1 cases after operation in 6 months(7.69 % ). Conclusions:For some of the patients with bulbous urethral disruption ureteroscopic placing catheter appears to be efficacious and safe.
Keywords:ureteroscopic  bulbous urethral disruption  catheter
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