摘要
目的 探讨影响尿道会师术成功的因素 ,明确置管时间。方法 将 88例骨盆骨折合并尿道完全断裂的患者分为三组进行回顾性临床研究。第一组 2 4例 ,采用术后留置导尿管 4周以下的尿道会师术 ;第二组 38例 ,采用术后留置导尿管 6周以上的尿道会师术 ;第三组 2 6例 ,应用尿道会师 +骨盆复位及固定治疗。手术方法也略做改进。结果 经统计学处理 ,第一组与第二组及第三组的尿道狭窄发生率有显著性差异 (P <0 .0 0 5 )。结论 尿道会师术仍然是比较好的治疗骨盆骨折合并尿道断裂的方法。
Objective To evaluate the factors which influence the result of urethral realignment and to assess the opitmal duration of indwelling catheter.Methods 88 cases of posterior urethral rupture complicating pelvic fracture were divided into three groups by using the different methods.In the first group,traditional urethral realignment operation was performed in the 24 cases.In the second group,38 cases'duration of indwelling catheters was prolonged to more than 6 weeks.In the third one,26 cases were received not only urethral realignment operation but also pelvic replacement and fixation.The urethral stricture rates were comparatively studied in all the groups.The technique of urethral realignment was also improved.Results The urethral stricture rate in the first group was significantly higher than that in the other two groups ( P <0.005).Conclusions Urethral realignment is still the main management for the urethral rupture complicating pelvic fracture.It is important to keep the catheter till the pelvic is steady.
出处
《北京医学》
CAS
北大核心
2002年第5期313-314,共2页
Beijing Medical Journal
