摘要
目的探讨骨盆骨折后伴尿道损伤的处理方法,以提高治疗水平。方法回顾性分析113例骨盆骨折伴后尿道损伤的病例资料。分别行早期尿道会师牵引术、延期经会阴尿道端-端吻合术及延期内窥镜下尿道成形术。结果本组86例获随访,平均随访时间64个月,其手术成功率分别为75.8%(25/33)、90.5%(19/21)、65.6%(21/32)。结论早期尿道会师结合有效的气囊导尿管牵引能达到满意的疗效,并能明显降低延期腔内治疗手术的难度。经会阴尿道端-端吻合术有更高的疗效,更适宜尿道损伤后复杂性尿道狭窄的延期治疗。
Objective To discuss the treatment of posterior urethral injury after pelvic fracture. Methods The clinical data of 113 cases of urethral injury complicated by pelvic fracture was reviewed respectively. The operations of early reconstruction of ruptured urethral by Bank method ,delayed end-end anastomosis and endoscopic urethroplasty were performed. Results Eigty-six cases were followed up,the mean follow-up was 64 months. The successful rate of early reconstruction of ruptured urethral by Bank methods, end-end anastomosis and endoscopic urethroplasty was 75.8% （25/33） ,90.5% （ 19/31） and 65.6% （ 21/32 ） respectively. Conclusion The treatment effects of early reconstruction of ruptured urethral by Bank method together with balloon urethral catheters was fine, which made the operation of delayed endoscopic urethroplasty easier. The end-end anastomosis had more effects on complicated urethral stricture caused by urethral injury.
出处
《创伤外科杂志》
2006年第1期13-15,共3页
Journal of Traumatic Surgery
关键词
尿道损伤
尿道狭窄
骨盆骨折
urethral injury
urethral stricture： pelvic fracture
