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目的探讨创伤性膀胱破裂的诊治方法。方法结合文献对本院自1992～2001年期间的20例创伤性膀胱破裂进行了分析。其中膀胱测漏试验阳性6例,膀胱逆行造影确诊11例,腹腔穿刺阳性5例,6例复合伤病人行CT扫描发现膀胱破裂,剖腹探查确诊2例。所有病人行膀胱修补术。结果19例术后排尿功能正常,1例术后出现尿潴留。结论CT诊断创伤性膀胱破裂优于膀胱逆行造影。膀胱修补仍是治疗膀胱破裂的主要方法,腹膜外型膀胱破裂行非手术的保守治疗需慎重。
Objective To investigate the diagnosis and treatment of traumatic bladder rupture. Methods According to the literature, 20 cases of traumatic bladder rupture in our hospital from 1992 to 2001 were analyzed. Including bladder leak test positive in 6 cases, bladder retrograde angiography diagnosed in 11 cases, abdominal puncture positive in 5 cases, 6 cases of composite injury patients CT scan found bladder rupture, laparotomy confirmed 2 cases. All patients underwent bladder repair. Results 19 cases of urinary function was normal, 1 case of postoperative urinary retention. Conclusion CT diagnosis of traumatic bladder rupture is better than bladder retrograde angiography. Bladder repair is still the main method of treatment of bladder rupture, peritoneal bladder rupture conservative treatment of non-surgical need to be cautious.