摘要
目的 探讨男童后尿道损伤的最佳急症治疗方案。 方法 总结 15年收治男童新鲜后尿道损伤 2 2例。第一组不全性尿道断裂 5例 ,4例单纯膀胱造瘘 ,1例留置导尿管。第二组完全性尿道断裂 17例 ,6例单纯膀胱造瘘 ,11例经会阴作尿道端端吻合。 结果 第一组恢复正常排尿 ;第二组仅行膀胱造瘘者 ,5例须作延期开放尿道修复术 ,1例经尿道作内切开术。 11例尿道吻合术后均恢复正常排尿 ,其中仅 1例于急症吻合术后曾行经尿道内切开 1次。 结论 尿道损伤应急症作尿道造影 ,不全性尿道断裂可行单纯膀胱造瘘 ,全尿道断裂急症行经会阴作尿道断端吻合 ,可缩短病程 。
Objective To evaluate various immediate managements of traumatic posterior urethral disruption in children. Methods 22 boys,2 to 14 years of age,with pelvic fracture and posterior urethral disruption were treated.There were 5 cases of partial urethral disruption,4 being managed by immediate suprapubic cystostomy and 1 by urethral catheterization.Of 17 cases of complete urethral disruption,6 underwent immediate suprapubic cystostomy with anastomosis of the disrupted ends later.The other 11 cases underwent primary urethral anastomosis via the perineum route. Results All the 5 partial disruption were cured without any complication.In 6 cases of complete urethral disruption with immediate suprapubic cystostomy,delayed repair was undertaken in 5. Of the 11 cases with primary urethral anastomosis,success and satisfactory result have been achieved in 10.Only 1 needed urethrostomy for further management. Conclusions For incomplete urethral disruption suprapubic cystostomy alone is indicated.For complete urethral disruption,primary urethral anastomosis via the perineal route would yield good result with much less chance of complications.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2000年第12期752-754,共3页
Chinese Journal of Urology
