摘要
目的 探索尿道损伤早期最佳治疗方法。 方法 回顾性分析 1 2 8例尿道损伤早期处理。 结果 球部尿道部分损伤 1 2例 ,留置尿管 2周治愈。球部尿道完全断裂 48例 ,行对端吻合术 3 9例 ,窥镜下置管术 4例均得到治愈 ,膀胱造瘘 5例需再次手术。另外 68例中男性后尿道损伤 51例、儿童 6例、女性尿道损伤 1 1例 ;行膀胱造瘘 2 4例 ,仅 2例伤后 3个月恢复自行排尿 ;会师引 2 3例 , 1 8例排尿通畅 ;对端吻合及修补术 2 1例 , 1 9例治愈。 结论 球部尿道断裂对端吻合术疗效良好 ,窥镜下经尿道置管术可使部分病人免除手术 ,改进后的尿道会师术创伤小 ,可作为后尿道损伤首选方法 ,对膀胱颈断裂、女性及儿童后尿道断裂应争取行对端吻合Ⅰ期尿道修补术。
Objective To observe the best treatment method in the e arly stage of the urethral injury. Methods Retrospective anal ysis was done on the primary managements of 128 cases of urethral injuries. Results There were complete urethrobulbar rupture fractures in 48 c ases, among whom 39 cases were given end-to-end anastomosis; 4 cases given end oscopic stent had good results; 5 cases of cystostomy needed further operation. In the 68 cases, posterior urethral injuries were in 51 cases, urethral injuries of the children in 6 cases, and urethral injuries of the women in 11 cases. Cystostomy was performed in 24 cases, in which 2 cases returned to normal. Inten al realigment was done in 23 cases, of which 18 cases had normal urenation. End-to-e nd anastomosis was done in 21 cases, of which 19 cases were cured. Conclusio ns Urethrobulbar fragmentation treated with end-to-end anastomosis g ets good results. Endoscopic stent may partly avoid operation. The modification o f intend realigment is less-wounded and should be the choice of treatment. The urethral fragmentation of the women and the children must be operated on using e nd-to-end anastomosis and primary urethrorrhaphy.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2001年第9期552-553,共2页
Chinese Journal of Trauma
关键词
尿道损伤
外科手术
手术方式
Wounds and injuries
Urethra
Operative procedures
