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1982年3月至1993年2月我院共收治骨盆骨折引起的后尿道断裂15例.本文就早期尿道吻合、术后尿道内支架管留置时间及加用去炎松等治疗问题作简要分析.1 临床资料本组15例,均为男性,年龄4～65岁.均为骨盆骨折而致膜部或前列腺部尿道断裂.伤后4～6小时就诊.均有下腹胀痛、排尿困难,尿道外口滴血,导尿管不能插入膀胱.直肠指诊触痛明显,前列腺有浮动感.因血液及尿液外渗,下腹部和会阴部有不同程度的血肿和尿浸润.10例合并休克,5例四肢骨折,4例膀胱损伤,1例肝、脾破裂,4例颅脑损伤.
From March 1982 to February 1993, 15 cases of posterior urethral rupture caused by pelvic fracture were treated in our hospital.This article briefly analyzed the treatment of early urethral anastomosis, postoperative urethral stent graft indwelling time and the addition of triamcinolone. 1 Clinical data The group of 15 patients, both men, aged 4 to 65 years are caused by pelvic fractures of the urethra or prostate Department of urethra fracture 4 to 6 hours after injury treatment. Have abdominal pain, dysuria, urinary tract Outside the mouth of the drop of blood, the catheter can not be inserted into the bladder .Rectal palpation tenderness obvious, floating sense of the prostate due to extravasation of blood and urine, lower abdomen and perineal have varying degrees of hematoma and urinary infiltration .10 cases of shock , 5 cases of fractures of limbs, 4 cases of bladder injury, 1 case of liver and spleen rupture, and 4 cases of traumatic brain injury.