【摘要】 目的分析采用传统开放式手术和输尿管镜微创手术治疗的男性尿道损伤的效果及并发症发生情况,为临床治疗男性尿道损伤患者提供参考。方法选取2015年11月至2017年11月鄂东医疗集团黄石市中心医院诊治的160例尿道损伤男性患者为研究对象,按照治疗方法将其分为观察组和对照组,每组80例患者。观察组患者行输尿管镜微创术,对照组患者行开放式手术。比较两组患者一般资料以及使用不同手术方法的疗效情况。结果比较两组患者手术时间、术中出血量和住院时间,其差异均具有统计学意义(均P<0.05);在管道留置时间上,两组患者之间的差异无统计学意义(P>0.05)。两组患者在最大尿流率(maxflowrate,MFR)上的差异均有统计学意义(P<0.01)。疗效结果表明,两组患者治疗效果上的差异均有统计学意义(P<0.05)。两组患者组术后出血上的差异无统计学意义(P>0.05)。两组患者在尿道狭窄、勃起障碍、尿瘘和尿失禁上的差异均具有统计学意义(均P<0.01)。结论与传统开放式手术相比,输尿管镜微创术能够显著增加患者的治疗效果,减少恢复时间和住院费用,同时能够显著减少并发症的发生,是一种值得优先选择的治疗方法。更多还原

【Abstract】 Objective To analyze the effect of traditional open surgery and minimally invasive ureteroscopy in the treatment of male urethral injury and the incidence of complications, in order to provide references for the clinical treatment of male urethral injury. Methods 160 male patients with urethral injury diagnosed and treated in Huangshi Central Hospital from November 2015 to November 2017 were selected and according to the treatment methods, they were divided into observation group and control group, with 80 patients in each group. The patients in the observation group were treated with minimally invasive ureteroscopy and the patients in the control group were treated with open surgery. The general information and the treatment effect were compared between the two groups. Results There were statistically significant differences in the operation time, intraoperative blood loss and hospitalization time between the two groups(all P<0.05), while the difference in the retention time in the pipeline was not significant between the two groups(P>0.05). There were statistically significant differences between the two groups in the max flow rate(MFR)(P<0.01) and treatment effect(P<0.05). Difference in the incidence of postoperative blood loss was not statistically significant(P>0.05). Differences in the incidence of urethral stricture, erectile dysfunction, urinary fistula and urinary incontinence were statistically significant(all P<0.01). Conclusions Compared with traditional open surgery, minimally invasive operation of ureteroscopy can significantly increase the therapeutic effect and reduce the recovery time, hospitalization expenses and the incidence of complications, which is a preferred treatment method.更多还原