[1]陈石军,陈铁峰.输尿管镜下套入法治疗创伤性尿道狭窄[J].医学信息,2021,34(07):116-118.[doi:10.3969/j.issn.1006-1959.2021.07.031]
　CHEN Shi-jun,CHEN Tie-feng.Treatment of Traumatic Urethral Stricture with Ureteroscopy[J].Medical Information,2021,34(07):116-118.[doi:10.3969/j.issn.1006-1959.2021.07.031]
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输尿管镜下套入法治疗创伤性尿道狭窄()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年07期
页码:
116-118
栏目:
临床研究
出版日期:
2021-04-01

文章信息/Info

Title:
Treatment of Traumatic Urethral Stricture with Ureteroscopy
文章编号:
1006-1959（2021）07-0116-03
作者:
陈石军; 陈铁峰
（天水市中西医结合医院泌尿外科，甘肃 天水 741020）
Author(s):
CHEN Shi-jun; CHEN Tie-feng
(Department of Urology,Tianshui Hospital of Integrated Traditional Chinese and Western Medicine,Tianshui 741020,Gansu,China)
关键词:
输尿管镜; 套入法尿道吻合术; 尿道狭窄
Keywords:
Ureteroscopic;  Intubation urethrostomy; Urethra stricture
分类号:
R691.6
DOI:
10.3969/j.issn.1006-1959.2021.07.031
文献标志码:
A
摘要:
目的 观察输尿管镜下套入法治疗创伤性尿道狭窄的疗效及安全性。方法 选取2010年8月~2018年12月在我院接受治疗的113例创伤性尿道狭窄患者为研究对象，依据随机数字表法分为观察组60例与对照组53例，对照组采用尿道拖入术治疗，观察组采用输尿管镜下套入法治疗，比较两组临床疗效、手术治疗指标（手术时间、住院时间、尿管置留时间）、治疗前后尿路症状评分、并发症情况（发热、红肿、局部感染）及患者满意度。结果 两组手术成功率均为100.00%，差异无统计学意义（P＞0.05）；观察组手术时间、住院时间、尿管留置时间均短于对照组，差异有统计学意义（P＜0.05）；治疗后两组IPSS评分低于治疗前，且观察组低于对照组，差异有统计学意义（P＜0.05）；观察组并发症发生率低于对照组，但差异无统计学意义（P＞0.05）；观察组满意率高于对照组，差异有统计学意义（P＜0.05）。结论 两种治疗方式均有一定疗效，且输尿管镜下套入法治疗创伤性尿道狭窄时时间更短，恢复更快，能够在一定程度上减轻患者痛苦，值得临床应用。
Abstract:
Objective To observe the efficacy and safety of ureteroscopic intubation in the treatment of traumatic urethral stricture.Methods 113 patients with traumatic urethral stricture who were treated in our hospital from August 2010 to December 2018 were selected as the research objects.According to the random number table method, they were divided into 60 cases in the observation group and 53 cases in the control group. The control group was treated with urethral drag surgery.The observation group was treated with ureteroscopy.The clinical efficacy, surgical treatment indicators (operation time, hospitalization time, catheter retention time), urinary tract symptom scores before and after treatment, complications (fever, redness, local infection) and patient satisfaction were compared between the two groups.Results The surgical success rate of the two groups was 100.00%,the difference was not statistically significant (P＞0.05);The operation time, hospitalization time, and urinary catheter indwelling time in the observation group were shorter than those in the control group,the difference was statistically significant (P＜0.05);After treatment, the IPSS scores of the two groups were lower than before treatment, and the observation group was lower than the control group, the difference was statistically significant (P＜0.05);The incidence of complications in the observation group was lower than that in the control group, but the difference was not statistically significant (P＞0.05);The satisfaction rate of the observation group was higher than that of the control group,the difference was statistically significant (P＜0.05).Conclusion Both treatment methods have certain curative effects, and the treatment of traumatic urethral stricture by ureteroscopic intubation is shorter and faster, which can relieve the suffering of patients to a certain extent and is worthy of clinical application.

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更新日期/Last Update: 1900-01-01