软镜下尿道会师术与传统会师术的临床疗效分析

目的 通过对软镜下尿道会师术与传统会师术的比较,探讨软镜下尿道会师术的临床应用价值.方法 选择北京积水潭医院2003年1月至2009年5月收治的尿道断裂患者58例,其中23例患者行软镜下尿道会师术(A组),35例患者行传统会师术(B组),比较两组在手术时间及术后并发症发生率等方面的差异.结果 所有58例患者均顺利完成手术,A组手术时间(29±10)min较B组(58±11)min明显缩短(P=0.000);A组术后尿道狭窄发生率为17.4%(4/23),低于B组(42.9%,15/35,P=0.043),A组假道形成的发生率为0(0/23),也低于B组(20%,7/35,P=0.035).两组患者在术后尿路感染、再次手术、尿失禁及勃起功能障碍的发生率差异均无统计学意义(均P>0.05).结论 与传统尿道会师术相比,软镜下尿道会师术损伤小,术后并发症发生率低.

Clinical comparison of flexible endoscopic realignment with traditional open realignment

Objective To evaluate the clinical value of flexible endoscopic realignment for posterior urethral disruption as compared with traditional open realignment. Methods A total of 58 patients suffering posterior urethral disruption in Beijing Jishuitan Hospital from January 2003 to May 2009 were examined.Twenty-three patients( Group A) were performed with flexible endoscopic realignment and 35 patients( Group B) were performed with traditional open realignment. The operation duration and post-operative complications were compared between two groups. Results All operations were successfully performed .The operative duration was significantly shorter in Group A than that in Group B(29±10)min vs(58 ±11 )min, P =0. 000]. Also, the patients in Group A had a significantly decreased rate of stricture and false urethral passages formation ( 17.4% vs 42. 9%, 0 vs 20%, both P<0. 05 ). There were no significant difference in urinary infection , repeat procedures, incontinence and impotence between two groups ( P >0. 05 ). Conclusion As compared with traditional open realignment, flexible endoscopic realignment has the advantages of short operation duration, lesser trauma and fewer comphcations. Therefore it is an excellent method for the treatment of urethral injury.