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題 名 | Early Endoscopic Primary Realignment Decreases Stricture Formation and Reduces Medical Costs in Traumatic Complete Posterior Urethral Disruption in a 2-Year Follow-up=在後段尿道全斷裂施行早期內視鏡重新接通手術追蹤兩年可減少尿道狹窄及降低醫療成本 |
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作 者 | 張博誌; 許毓昭; 許家禛; 黃世聰; 黃信介; 陳煜; 謝明里; | 書刊名 | 長庚醫誌 |
卷 期 | 34:2 2011.03-04[民100.03-04] |
頁 次 | 頁179-185 |
分類號 | 416.274 |
關鍵詞 | 後段尿道斷裂; 內視鏡尿道切開術; 醫療成本; Posterior urethral injury; Endoscopic realignment; Economic costs; |
語 文 | 英文(English) |
英文摘要 | Background: There are presently several options for the management of posterior urethral disruption. However, these options remain controversial for several reasons. Thus, this medical issue has been continuously investigated. Methods: From 1991 to 2001, 22 patients with complete posterior urethral disruption out of 720 urethral injury cases were retrospectively reviewed using strict criteria. The 22 cases were grouped into two different management groups, the endoscopic early realignment (ER) group and the delayed urethrotomy (DU) group. The frequency of optic internal urethrotomy for urethral strictures and individual medical costs were evaluated over a two-year period. Results: The ER group had a mean frequency of 1.3 0.82 urethrotomies in the first year and 1.8 1.23 over two years while the DU group had a significantly higher urethrotomy frequency, 2.5 1.35 in the first year and 4.1 1.91 over two years. The costs for the DU group were 50% higher than the ER group at the end of second year. Conclusion: An early endoscopic realignment operation saved up to NT 36,000 (New Taiwan Dollars) in costs with an average of 2.3 fewer further urethrotomy procedures in each case during the 2-year follow-up period. Therefore, early urethral realignment for traumatic complete posterior urethral disruption should be encouraged to prevent intractable urethral stricture and lower medical costs. |
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