摘要
目的探讨部队官兵发生尿道损伤的原因、诊断、治疗与预防措施。方法对前尿道损伤分别采用留置导尿管及尿道吻合术等方法进行治疗、后尿道损伤采用尿道会师术治疗的28例伤员临床资料进行回顾性分析。结果77．3％（17／22）前尿道损伤、50．0％（3／6）后尿道损伤的伤员排尿顺畅，其余分别经3～8次尿道扩张治疗后排尿正常，无再次手术。结论部队官兵训练致前尿道损伤首选采用留置尿管、后尿道损伤采用尿道会师术，方法简便、有效。
Objective To analyze the cause of urethral injury in garrison, and to explore its diagnosis, treatment and prevetion. Methods Twenty-eight eases of urethral injury were analyzed retrospectively. Twenty-two cases with bulbar urethral injury were treated with urethral catheterization, primary urethral anastomosis, urethral realignment and suprapubic cysteetomy, respectively, and six cases with posterior urethral disruption were treated by urethral realignment. Results Satisfactory outcomes were achieved in 77.3% （ 17/22 ） of those with bulbar urethral injury and in 50.0% （3/6） of those with posterior urethral injury after immediate management. The others restored satisfactory urination after dilation by 3 - 8 times. None needed re-operating. Conclusion The effective therapeutic methods with little damage and rapid convalescence should be adopted to the treatment of urethral injury in sol- iders. Prevetion of urethral injury ought to he emphasized during military training.
出处
《临床军医杂志》
CAS
2008年第5期753-754,共2页
Clinical Journal of Medical Officers
关键词
尿道损伤
治疗
部队
urethral injury
therapy
serviccman
