本文报道３ 例因车祸所致女孩尿道损伤，结合文献就其损伤特点：伤情判断和急症处理的重要性进行讨论。病例均伴有骨盆骨折，主要临床表现为尿潴留、阴道出血、会阴肿胀等。其中２ 例受伤后Ⅰ期进行了尿道和阴道修补术；另一例于伤后３ｄ 延期行了修补术。作者认为，对于女孩的尿道及会阴部损伤，应尽量争取急症修补术，并注意处理合并伤，常能取得满意效果。 This article reports three cases of urethral injury caused by a car accident, combined with the literature on the characteristics of their injury: the judgment of the injury and the importance of emergency treatment are discussed. Cases are associated with pelvic fractures, the main clinical manifestations of urinary retention, vaginal bleeding, perineal swelling and so on. Two of them were treated with urethral and vaginal repair during the first stage of injury and the other was repaired three days after the injury. The author believes that the girl’s urethra and perineal injury, should strive for emergency repair, and pay attention to dealing with combined injury, often can achieve satisfactory results.