腔镜下与开放手术行会师术治疗后尿道断裂临床疗效对照研究
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摘要
目的:探讨腔镜下与开放手术行会师术在后尿道断裂患者中的应用效果。方法:选择我院泌尿外科后尿道断裂患者86例,随机分为观察组和对照组,对照组43例开放手术行会师术,而观察组43例则腔镜下行会师术,分析对比两组患者术中出血量、手术时间、住院时间、住院费用及术后性功能障碍发生率等。结果 :观察组患者在术中出血量、手术时间、住院时间及术后性功能障碍发生率均低于对照组(P<0.05),而观察组患者住院费用明显高于对照组(P<0.05),但两组手术成功率无显著性差异(P>0.05)。结论:腔镜下行会师术治疗后尿道断裂具有术中出血量少、手术时间短、住院时间及术后性功能障碍发生率少等优点。
Objective:To investigate the clinical efficacy differences of traumatic posterior urethral by in open surgery urethral operation forces and cavity mirrors forces to provide reference for a safe and effective treatment on it.Methods:Eighty-six cases of patients with the traumatic posterior urethral who were treated in the department of urology surgery in our hospital from January 2009 to January 2012.then patients were divided into the control group and observation group by using a random number table,patients in the control group was given open surgery urethral operation forces,but patients in the observation group was given the cavity mirrors forces,the blood loss,the operation time,hospitalization time,cost of hospitalization and the incidence of sexual dysfunction of each group was evaluated.Results:The blood loss,the operation time,hospitalization time and the incidence of sexual dysfunction was lower in the observation group than that in the control group,but hospitalization time and cost of hospitalization was higher in the observation group than that in the control group.Conclusion:Cavity mirrors forces obtain satisfactory curative effect for patients with traumatic posterior urethral,and it is less blood loss,the operation time,hospitalization time and the incidence of sexual dysfunction.
Objective:To investigate the clinical efficacy differences of traumatic posterior urethral by in open surgery urethral operation forces and cavity mirrors forces to provide reference for a safe and effective treatment on it.Methods:Eighty-six cases of patients with the traumatic posterior urethral who were treated in the department of urology surgery in our hospital from January 2009 to January 2012.then patients were divided into the control group and observation group by using a random number table,patients in the control group was given open surgery urethral operation forces,but patients in the observation group was given the cavity mirrors forces,the blood loss,the operation time,hospitalization time,cost of hospitalization and the incidence of sexual dysfunction of each group was evaluated.Results:The blood loss,the operation time,hospitalization time and the incidence of sexual dysfunction was lower in the observation group than that in the control group,but hospitalization time and cost of hospitalization was higher in the observation group than that in the control group.Conclusion:Cavity mirrors forces obtain satisfactory curative effect for patients with traumatic posterior urethral,and it is less blood loss,the operation time,hospitalization time and the incidence of sexual dysfunction.
引文
[1]许汉标,杨海超,杨伟忠,等.腹腔镜泌尿外科手术326例临床经验总结[J].中华腔镜泌尿外科杂志(电子版),2012,6(1):20-23.
[2]郑民华,乐飞.微创技术给外科发展带来的机遇与挑战[J].外科理论与实践,2011,16(6):513-515.
[3]吴春雷,刘华荣,朱志荣,等.腹腔镜在泌尿外科应用的初步体会[J].吉林医学,2011,32(32):6857-6858.
[4]邵林海.后腹腔镜手术治疗泌尿外科疾病[J].吉林医学,2011,32(10):1917-1918.
[5]孙庆堂,魏倩.高海拔地区850例交通及意外伤的发病特点[J].西藏医药杂志,2010,31(1):17-18.
[6]金晓武,凡金虎,吴峰,等.输尿管镜下尿道会师术治疗尿道损伤[J].河南外科学杂志,2010,16(1):80-81.
[7]彭新发,周凤昌.输尿管镜下尿道会师术治疗后尿道断裂的临床体会(附28例报告)[J].医学信息(中旬刊),2011,5:1789-1790.
[8]陈国强,宋宇,陈晨,等.输尿管镜下尿道置管术治疗后尿道断裂疗效观察[J].中国伤残医学,2010,18(5):19-20.
[9]徐焱江,王学民,占爱玲.输尿管镜下尿道会师术治疗男性后尿道断裂[J].中国男科学杂志,2010,24(2):57-59.
[10]李云,龙瑞发,张虹,等.内窥镜下后尿道会师术治疗尿道损伤6例[J].中国实用医药,2010,5(11):191-192.
[11]周钢.不同治疗方法治疗尿道损伤的临床体会.中外医疗,2011,17(1):76-78.
[12]刘凤岐,姜云横,姚云龙,等.尿道会师膀胱颈会阴部牵引固定术治疗后尿道断裂的体会[J].吉林医学,2010,31(9):1234-1236.
[13]赵亮,涂响安,王文卫,等.膀胱镜下尿道会师术治疗尿道损伤的临床分析[J].中华腔镜泌尿外科杂志(电子版),2010,4(4):293-295.
[14]肖仁举,陈伟,李波,等.腔镜下尿道会师术治疗外伤性尿道断裂(附17例报告)[J].中国医疗前沿,2010,5(17):51-52.
[2]郑民华,乐飞.微创技术给外科发展带来的机遇与挑战[J].外科理论与实践,2011,16(6):513-515.
[3]吴春雷,刘华荣,朱志荣,等.腹腔镜在泌尿外科应用的初步体会[J].吉林医学,2011,32(32):6857-6858.
[4]邵林海.后腹腔镜手术治疗泌尿外科疾病[J].吉林医学,2011,32(10):1917-1918.
[5]孙庆堂,魏倩.高海拔地区850例交通及意外伤的发病特点[J].西藏医药杂志,2010,31(1):17-18.
[6]金晓武,凡金虎,吴峰,等.输尿管镜下尿道会师术治疗尿道损伤[J].河南外科学杂志,2010,16(1):80-81.
[7]彭新发,周凤昌.输尿管镜下尿道会师术治疗后尿道断裂的临床体会(附28例报告)[J].医学信息(中旬刊),2011,5:1789-1790.
[8]陈国强,宋宇,陈晨,等.输尿管镜下尿道置管术治疗后尿道断裂疗效观察[J].中国伤残医学,2010,18(5):19-20.
[9]徐焱江,王学民,占爱玲.输尿管镜下尿道会师术治疗男性后尿道断裂[J].中国男科学杂志,2010,24(2):57-59.
[10]李云,龙瑞发,张虹,等.内窥镜下后尿道会师术治疗尿道损伤6例[J].中国实用医药,2010,5(11):191-192.
[11]周钢.不同治疗方法治疗尿道损伤的临床体会.中外医疗,2011,17(1):76-78.
[12]刘凤岐,姜云横,姚云龙,等.尿道会师膀胱颈会阴部牵引固定术治疗后尿道断裂的体会[J].吉林医学,2010,31(9):1234-1236.
[13]赵亮,涂响安,王文卫,等.膀胱镜下尿道会师术治疗尿道损伤的临床分析[J].中华腔镜泌尿外科杂志(电子版),2010,4(4):293-295.
[14]肖仁举,陈伟,李波,等.腔镜下尿道会师术治疗外伤性尿道断裂(附17例报告)[J].中国医疗前沿,2010,5(17):51-52.