摘要
目的:探讨骨盆骨折引起后尿道损伤早期合理的处理方法。方法:回顾性分析36例男性骨盆骨折并发后尿道损伤患者的临床资料,其中8例尿道黏膜裂伤或尿道部分断裂患者行留置导尿,另28例尿道完全断裂患者均在伤后24h内行手术治疗,其中18例行尿道会师加牵引,其余10例单纯膀胱造瘘。结果::随访6个月～5年,8例留置尿管患者,拔管后排尿通畅6例,尿线变细2例,经定期尿道扩张,排尿正常。18例尿道会师加牵引患者,拔管后适时扩张尿道,排尿通畅15例,尿线较细3例,经定期尿道扩张后,1例排尿通畅,2例失败。10例单纯膀胱造瘘患者,术后均不能排尿,分别于伤后6～12个月行开放手术及尿道内切开治疗。结论:尿道会师加牵引术是治疗骨盆骨折所致后尿道断裂的有效方法。
Objective： To investigate an early and rational management of posterior urethral injuries in the context of pelvic fractures. Methods： Posterior urethral injuries occurred in 36 male patients with pelvic fractures. Simple catheterization was adopted for 8 cases of partial disrupture. Among the 28 cases of complete disrupture, 18 patients were treated with urethral realignment and traction, and other 10 patients weretreated with simple cystostomy. Results：After 6 months to 5 years＇ follow up, 6 patients can micturate normally in the 8 cases of partial disrupture, the other 2 cases also with normal urination after proper urethral dilatation. In the 18 patients with urethral realignment and traction, 15 cases can micturate normally after proper urethral dilatation, 1 case with normal urination hy prolong the urethral dilatation time, 2 cases failed. All the 10 cases who were treated with simple eystostomy can not micturate, and were treated with open surgery or transurethral urethrostomy 6- 12 months later. Conclusions：Urethral realignment and tractionis an effectiveway to treat the early posterior urethral injury.
出处
《临床泌尿外科杂志》
2008年第9期696-697,共2页
Journal of Clinical Urology
关键词
后尿道损伤
骨盆骨折
治疗
Pelvic fracture
Posterior urethra
Trauma
Treatment
