超聲定位經皮膀胱穿刺微創施行尿道會師的臨床研究

黃金球　　羅凌堅　　陳薇　　熊思清　　張龍

[摘要] 目的 研究超聲定位經皮膀胱穿刺微創施行尿道會師術的臨床效果。 方法 回顧性選取2018年1月至2020年1月本院尿道損傷患者100例，依據手術方法分為觀察組和對照組，每組各50例。觀察組采用超聲定位經皮膀胱穿刺，對照組采用開放尿道會師術，統計分析兩組患者的手術成功情況、手術相關指標、術后并發癥發生情況。 結果 觀察組患者的Ⅰ期手術成功率為96.0%（48/50），顯著高于對照組的86.0%（43/50）（P<0.05），Ⅱ期手術成功率為4.0%（2/50），顯著低于對照組的14.0%（7/50）（P<0.05）。觀察組患者的手術時間顯著短于對照組（P<0.05），術中出血量顯著少于對照組（P<0.05），住院時間顯著短于對照組（P<0.05），但兩組患者的最大尿流率、殘余尿量之間比較，差異均無統計學意義（P>0.05）。觀察組術后并發癥發生率為6.0%（3/50），對照組為26.0%（13/50），差異有統計學意義（P<0.05）。 結論 超聲定位經皮膀胱穿刺微創施行尿道會師術的臨床效果較開放尿道會師術好。

[關鍵詞] 超聲定位;經皮膀胱穿刺;微創;尿道會師

[中圖分類號] R695? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）19-0060-03

Clinical study of ultrasonic percutaneous bladder puncture for the minimally invasive urethral reunion

HUANG Jinqiu? ?LUO Lingjian? ?CHEN Wei? ?XIONG Siqing? ?ZHANG Long

Department of Urology， Ji'an Central People′s Hospital in Jiangxi Province， Ji′an? ?343000， China

[Abstract] Objective To study the clinical effect of minimally invasive urethral reunion by ultrasound positioning percutaneous bladder puncture. Methods A total of 100 patients with urethral injury in our hospital from January 2018 to January 2020 were retrospectively selected and divided into the observation group and the control group according to the surgical method， with 50 cases in each group. The observation group used ultrasound positioning percutaneous bladder puncture， and the control group used open urethral reunion. The surgical success， operation-related indicators， and postoperative complications of the two groups were statistically analysed. Results The success rate of stage I surgery of the observation group 96.0% （48/50） was significantly higher than 86.0% （43/50） of the control group （P<0.05）. The success rate of stage II surgery 4.0% （2/50） in the observation group was significantly lower than 14.0% （7/50） in the control group （P<0.05）. The operation time of the observation group was significantly shorter than that of the control group （P<0.05）. The intraoperative blood loss of the observation group was significantly less than that of the control group （P<0.05）， and the hospital stay was significantly shorter than that of the control group （P<0.05）. The difference in maximum urine flow rate and residual urine volume between the two groups was not significant （P>0.05）. The incidence of postoperative complications in the observation group was 6.0% （3/50）， lower than 26.0% （13/50） of the control group （P<0.05）. Conclusion The clinical effect of minimally invasive ultrasonic percutaneous bladder puncture for urethral reunion is better than that of open urethral reunion.