经尿道膀胱镜辅助腹腔镜下膀胱破裂修补术的应用研究

［摘要］ 目的探讨经尿道膀胱镜辅助腹腔镜下膀胱破裂修补术的可行性及安全性。 方法选取符合条件的膀胱破裂患者19例，急诊行腹腔镜膀胱破裂修补术，术中经尿道置入膀胱镜辅助观察，明确膀胱破裂位置及监测修补情况。记录手术时间、手术出血量、术后是否出现漏尿、术后疼痛评分、住院时间等。 结果患者均顺利完成手术。手术时间47～134 min，平均（71.6±19.0） min；出血量10～150 mL，平均（38.9±22.6） mL；术后7 d拔除尿管，患者均恢复良好，均未出现漏尿；术后4 h疼痛评分2～4分，平均（2.6±0.5）分；住院时间3～5 d，平均（3.9±0.8） d。 结论经尿道膀胱镜辅助腹腔镜下膀胱破裂修补术治疗效果确切，安全性好，患者恢复快，痛苦小，值得临床推广应用。

Application research of the transurethral cystoscopy-assisted laparoscopic repair of bladder rupture#br#

［Abstract］Objective〖HTSS〗To explore the feasibility and safety of transurethral cystoscopy-assisted laparoscopic repair of bladder rupture in clinical application. 〖WTHZ〗Methods〖HTSS〗Nineteen bladder rupture patients withcompliance requirements were selected. Laparoscopic repair of bladder rupture was performed in emergency. During the operation, cystoscopy was inserted into the urethra to observe the location of bladder rupture and monitor the repair. Operation time, bleeding volume, leakage of urine after operation, pain score after operation, hospitalization time were record. 〖WTHZ〗Results〖HTSS〗All the patients have successfully completed the operation,the operation time was 47 to 134 min, with an average of （71.6±19.0） min. The bleeding volume was 10 to 150 mL, with an average was （38.9±22.6） mL. The catheter was removed 7 days after operation. All patients recovered well without leakage of urine.Painful score was 2 to 4 at 4 hours after operation,with an average of 2.6±0.5. The hospitalization time was 3 to 5 days, with an average of (3.9±0.8) days. 〖WTHZ〗Conclusion〖HTSS〗The transurethral cystoscopy-assisted laparoscopic repair of bladder rupture is effective, safe, quick recovery and less pain, which is worthy of clinical promotion.