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目的探讨输尿管镜下尿道会师术治疗小儿尿道断裂的临床效果。方法 18例尿道断裂患儿分为2组,行输尿管镜下尿道会师术治疗的9例患者为观察组,行开放手术尿道会师术9例患者为对照组。比较2组临床治疗效果和术后1a最大尿流率及尿道狭窄等并发症发生情况。结果观察组手术时间[(13.50±4.50)min]、住院时间[(8.12±2.50)d]短于对照组[(26.30±5.30)min、(16.50±3.50)d](P<0.05),术中出血量[(22.15±4.50)mL]少于对照组(84.50±6.50)mL;术后1a,观察组最大尿流率[(18.60±3.50)mL/s]与对照组[(19.30±2.90)mL/s]比较差异无统计学意义(P>0.05);观察组发生感染3例,尿道狭窄3例,阴茎勃起障碍3例,尿失禁1例;对照组发生感染2例,尿道狭窄2例,阴茎勃起障碍4例,尿失禁1例。结论输尿管镜下尿道会师术可达到与开放手术相同的临床治疗效果,创伤小,恢复时间短。
Objective To investigate the clinical effect of ureteroscopic urethral surgery in the treatment of pediatric urethral rupture. Methods Eighteen patients with urethral rupture were divided into two groups. Nine patients undergoing urethral urethral mastectomy were selected as observation group. Nine patients undergoing open urethral mastectomy as control group. Comparing the clinical efficacy of the two groups and postoperative maximal urinary flow rate and urethral stricture and other complications occurred. Results The operation time [(13.50 ± 4.50) min] and hospitalization time (8.12 ± 2.50 d) in the observation group were shorter than those in the control group [(26.30 ± 5.30) min, (16.50 ± 3.50) d] (22.15 ± 4.50) mL] was lower than that of the control group (84.50 ± 6.50) mL. After operation 1a, the maximal urinary flow rate in the observation group [(18.60 ± 3.50) mL / s) (P> 0.05). There were 3 cases of infection, 3 cases of urethral stricture, 3 cases of penile erectile dysfunction and 1 case of urinary incontinence in the observation group, 2 cases of infection in the control group and 2 cases of urethral stricture Cases, penile erectile dysfunction in 4 cases, urinary incontinence in 1 case. Conclusions Ureteroscopic urethral mastectomy can achieve the same clinical effect as open surgery with less trauma and shorter recovery time.