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目的观察尿道会师牵引术治疗后尿道断裂的临床疗效。方法收集我院2005年1月至2011年1月收治的30例后尿道断裂患者的临床资料,按就诊时间顺序分为对照组14例和观察组16例,对照组采取常规尿道会师牵引术治疗,观察组采取改良式尿道会师牵引术治疗,术后均随访1-4年,观察两组患者疗效及术后并发症。结果观察组总有效率93.7%,对照组总有效率71.4%,观察组优于对照组(P<0.05);观察组术后阳痿发生率31.3%,明显低于对照组的42.9%(P<0.05),对性功能的影响比对照组小。结论改良式尿道会师牵引术疗效优于常规尿道会师牵引术,对性功能的影响小,适合临床推广应用。
Objective To observe the clinical curative effect of posterior urethral traction for urethral rupture. Methods The clinical data of 30 patients with posterior urethral rupture admitted in our hospital from January 2005 to January 2011 were collected and divided into control group (n = 14) and observation group (n = 16) according to the time sequence of treatment. The control group was treated by conventional urethral instructor traction , The observation group to adopt modified urethral traction division therapy were followed up for 1-4 years after operation to observe the efficacy of two groups of patients and postoperative complications. Results The total effective rate was 93.7% in the observation group and 71.4% in the control group, and the observation group was superior to the control group (P <0.05). The incidence of postoperative impotence was 31.3% in the observation group, which was significantly lower than that in the control group (42.9%, P < 0.05), the impact on sexual function than the control group. Conclusion Modified urethral traction division surgery is superior to conventional urethral traction division, the impact on sexual function is small, suitable for clinical application.