超声定位经皮膀胱穿刺微创施行尿道会师的临床研究

目的 研究超声定位经皮膀胱穿刺微创施行尿道会师术的临床效果。方法回顾性选取2018年1月至2020年1月本院尿道损伤患者100例,依据手术方法分为观察组和对照组,每组各50例。观察组采用超声定位经皮膀胱穿刺,对照组采用开放尿道会师术,统计分析两组患者的手术成功情况、手术相关指标、术后并发症发生情况。结果 观察组患者的Ⅰ期手术成功率为96.0%(48/50),显著高于对照组的86.0%(43/50)(P0.05),Ⅱ期手术成功率为4.0%(2/50),显著低于对照组的14.0%(7/50)(P0.05)。观察组患者的手术时间显著短于对照组(P0.05),术中出血量显著少于对照组(P0.05),住院时间显著短于对照组(P0.05),但两组患者的最大尿流率、残余尿量之间比较,差异均无统计学意义(P0.05)。观察组术后并发症发生率为6.0%(3/50),对照组为26.0%(13/50),差异有统计学意义(P0.05)。结论 超声定位经皮膀胱穿刺微创施行尿道会师术的临床效果较开放尿道会师术好。

Clinical study of ultrasonic percutaneous bladder puncture for the minimally invasive urethral reunion

Objective To study the clinical effect of minimally invasive urethral reunion by ultrasound positioning percutaneous bladder puncture.Methods A total of 100 patients with urethral injury in our hospital from January 2018 to January 2020 were retrospectively selected and divided into the observation group and the control group according to the surgical method,with 50 cases in each group.The observation group used ultrasound positioning percutaneous bladder puncture,and the control group used open urethral reunion.The surgical success,operation-related indicators,and postoperative complications of the two groups were statistically analysed.Results The success rate of stage I surgery of the observation group 96.0% (48/50) was significantly higher than 86.0% (43/50) of the control group (P<0.05).The success rate of stage II surgery 4.0% (2/50) in the observation group was significantly lower than 14.0% (7/50) in the con trol group (P<0.05).The operation time of the observation group was significantly shorter than that of the control group(P<0.05).The intraoperative blood loss of the observation group was significantly less than that of the control group (P<0.05),and the hospital stay was significantly shorter than that of the control group (P<0.05).The difference in maximum urine flow rate and residual urine volume between the two groups was not significant (P>0.05).The incidence of postoperative complications in the observation group was 6.0% (3/50),lower than 26.0% (13/50) of the control group (P<0.05).Conclusion The clinical effect of minimally invasive ultrasonic percutaneous bladder puncture for urethral reunion is better than that of open urethral reunion.