Objective:To discuss the application value of laparoscopic Trocar assisted resectoscopic urethral reunion operation to treat complicated posterior urethral injury of aged patients. Methods: The clinical data of 6 elderly patients with complicated posterior urethral injury who underwent laparoscopic Trocar assisted resectoscopic urethral reunion operation emergently from Apr. 2009 to Aug. 2010 were analyzed retrospectively. Results: Three-cavity catheters of 22-24 were inserted into all 6 patients without cystostomy or drainage,and were removed 4 weeks after the operation. No scar was found in the abdominal wall. All the patients had fluent urination, no urethral stricture was detected and no urethral dilation was needed. Conclusions: Laparoscopic Trocar assisted resectoscopic urethral reunion operation to treat complicated posterior urethral injury of aged patients have advantages of mini-invasion,easier operation,more safety, efficacy, shorter operating time and less complications. It is superior to laparoscopic urethral reunion operation and avoids cystostomy or second-stage sugery.%目的:探讨腹腔镜Trocar辅助电切镜尿道会师手术治疗老年患者后尿道复杂性损伤的应用价值.方法:回顾分析2009年4月至2011年8月为6例后尿道复杂性损伤老年患者急诊行腹腔镜Trocar辅助电切镜尿道会师手术的临床资料.结果:6例均顺利置入F22-24三腔导尿管,未放置膀胱造瘘管及引流管,术后腹壁无切口瘢痕,4周后拔除导尿管,排尿通畅,无狭窄,均未行尿道扩张术.结论:腹腔镜Trocar辅助电切镜尿道会师手术治疗老年患者后尿道复杂性损伤具有患者创伤小、操作简单、安全、有效、手术时间短、并发症少等优点,明显优于单纯腔镜尿道会师手术,避免了膀胱造瘘或二期手术.
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