骨盆骨折合并后尿道损伤的发病率近年来呈上升趋势 ,对后尿道损伤的诊断与处理日益重要 ,处理不当日后需再次手术 ,引起尿失禁、阳瘘则留下终身残废。作者就骨盆骨折后尿道损伤及后尿道狭窄的发病率、尿道损伤机制、后尿道损伤分类、诊断和处理作综述。 The incidence of post-urethral injury associated with pelvic fractures has been on the rise in recent years, and the diagnosis and management of posterior urethral injuries are becoming more and more important. Reoperation after surgery is not enough to cause urinary incontinence. The author reviews the incidence of urethral injury and urethral stricture, urethral injury mechanism, classification of posterior urethral injury, diagnosis and treatment after pelvic fracture.