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目的总结儿童尿道损伤的诊断、治疗经过,探讨尿道损伤的有效治疗方法。方法回顾性分析该院近十年收治的73例尿道损伤患儿。结果男性患儿66例,女性患儿7例,年龄1~15岁(平均7岁)。男性患儿中,阴茎体部尿道损伤8例,球部损伤10例,后尿道损伤44例,膀胱颈损伤4例;女性患儿中,尿道损伤6例,膀胱颈损伤1例。Ⅰ期会师术一次治愈率78.6%,Ⅰ期吻合术一次治愈率80%,Ⅱ期尿道修复术一次治愈率69.6%。结论不同手术方式各有利弊,需对患儿全身情况及损伤类型综合评估以制定相应治疗方案。
Objective To summarize the diagnosis and treatment of urinary tract injury in children and explore the effective treatment of urethral injury. Methods A retrospective analysis of 73 cases of urethral injury in the hospital admitted to the hospital over the past decade. Results 66 cases of male children, 7 cases of female children, aged 1 to 15 years (mean 7 years). Among the male children, 8 cases of urethra injury, 10 cases of ball injury, 44 cases of posterior urethra injury and 4 cases of bladder neck injury were found in the penis; 6 cases of urethral injury and 1 case of bladder neck injury were found in female children. The first phase of the division of a cure rate of 78.6%, Ⅰ anastomosis, a cure rate of 80%, Ⅱ urethroplasty a cure rate of 69.6%. Conclusion Different surgical methods have their own advantages and disadvantages, the overall condition of children and the need for comprehensive assessment of the type of injury to develop the appropriate treatment.