Clinical comparative study of urethral anastomoses and ureteroscopy urethral realignment in the treatment of urethral straddle injury and catheter placement failure
10.3760/cma.j.jssn.1673-4904.2016.07.013
- VernacularTitle:尿道修补吻合术与输尿管镜下尿道会师术治疗尿管放置失败尿道骑跨伤临床对比研究
- Author:
Tianbing LYU
;
Chengzhong FU
;
Yaxiong TANG
;
Xiaoming ZHONG
;
Zhibin CHEN
- Publication Type:Journal Article
- Keywords:
Urethral anastomoses;
Ureteroscopy urethral realignment;
Urethral straddle injury;
Comparative study
- From:
Chinese Journal of Postgraduates of Medicine
2016;39(7):617-619
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effects and safety of urethral anastomoses and ureteroscopy urethral realignment in the treatment of urethral straddle injury and catheter placement failure. Methods Ninety patients with urethral straddle injury and catheter placement failure were chosen and divided into A group (45 patients, choosing urethral anastomoses) and B group (45 patients, choosing ureteroscopy urethral realignment). The operation time, intraoperative blood loss, hospital staying time and peri-operation complications in both groups were compared. Results The operation time, intraoperative blood loss, hospital staying time in B group were significantly lower than those in A group: (26.15 ± 10.41) min vs. (71.93 ± 14.50) min, (22.37 ± 7.41) ml vs. (50.70 ± 13.25) ml, (3.22 ± 0.97) d vs. (5.19 ± 1.43) d, P<0.05. After 6 months′follow-up, the clinical indicators in peri-operation period of B group were significantly better than those in A group (P<0.05). The complications incidence in B group was significantly lower than that in A group: 2.22%(1/45) vs. 13.33%(6/45), P <0.05. Conclusions The technology of ureteroscopy urethral realignment in the treatment of urethral straddle injury and catheter placement failure can efficiently shorten the operation time, reduce the degree of trauma and accelerate the rehabilitation process, and it is helpful to reduce the risk of complications in peri-operation period.
