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目的探讨双支架持续尿道扩张法在后尿道断裂康复治疗中的应用。方法选取该院2010年12月—2016年12月收治的患有后尿道断裂的30例患者进行临床治疗,将其随机分为两组,对照组进行尿道会师手术治疗,观察组采用双支架持续尿道扩张法治疗,对比其治疗效果。结果两组患者的治疗总有效率之间差异有统计学意义(P<0.05)。观察组患者出现尿道感染的1例,尿道狭窄的1例,发生率为13.3%,对照组患者出现尿道感染的3例,尿道狭窄2例,周围皮肤损伤2例,发生率为46.7%,观察组并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论后尿道断裂采用双支架持续尿道扩张法治疗较为简单、易操作,安全性较高,可在临床中推广应用。
Objective To investigate the application of double stent sustained urethral dilatation in the rehabilitation of posterior urethral rupture. Methods Thirty patients with posterior urethral rupture admitted from December 2010 to December 2016 in our hospital were selected and randomly divided into two groups. The control group received urethral surgery and the double stent was used in the observation group Urethral expansion treatment, compared to its therapeutic effect. Results The total effective rate of the two groups of patients was significantly different (P <0.05). In the observation group, one case of urethral infection and one case of urethral stricture occurred in 13.3% of the patients in the observation group. In the control group, there were 3 cases of urinary tract infection, 2 cases of urethral stricture and 2 cases of peripheral skin lesions. The incidence rate was 46.7% The incidence of complications was significantly lower than the control group, the difference was statistically significant (P <0.05). Conclusions The treatment of posterior urethral rupture with double scaffold sustained urethral dilatation is relatively simple, easy to operate, safe and can be widely applied in clinical practice.