论文部分内容阅读
我院自1989年11月至1993年12月收治25例后尿道断裂,其中19例在病情允许情况下行早期后尿道清创端端吻合术,16例随访1年~4年,疗效满意。术后除2例经4次尿道扩张后排尿通畅,其余拔管后排尿均为粗畅,1例阳萎。早则尿道断裂伤行尿道清创吻合术,因组织新鲜,弹性佳,无瘢痕无粘连。尿道断端易辨认,吻合容易、一次性手术成功率高,可避免二次手术或多次手术,即使发生狭窄,狭窄段也较短,便于再次手术。为此,后尿道断裂伤在24小时内应争取行断端清创吻合术治疗。
In our hospital from November 1989 to December 1993, 25 cases of posterior urethral rupture were treated, of which 19 cases were treated with early post-urethral debridement anastomosis, and 16 cases were followed up for 1 year to 4 years with satisfactory results. In addition to 2 cases after 4 cases of urinary tract unobstructed urethral dilatation, the rest after extubation urination are smooth, 1 case of impotence. Early urethral rupture of the urethra debridement anastomosis, due to fresh tissue, good elasticity, no scar without adhesions. Easily identifiable urethral stump, consistent anastomosis, one-time high success rate of surgery, surgery can be avoided or multiple operations, even if the occurrence of stenosis, stenosis is shorter, easy to re-surgery. To this end, urethral rupture injury in 24 hours should be striving for end-line debridement anastomosis.