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目的探讨骨盆骨折后尿道断裂安全有效的手术方法。方法 2 4例男性后尿道断裂全部采用尿道会师超过断端对合张力的牵引方式治疗 ,手术中耻骨后间隙不做分离。结果随访 1～ 10年 ,尿道狭窄 2例 ,阳萎 1例 ;无尿失禁 ,治愈率 91.2 %。结论骨盆骨折后尿道断裂应首选尿道会师术 ,过张力牵引能够降低尿道狭窄发生机率 ,耻骨后间隙不做广泛分离可降低阳萎发生率。
Objective To investigate the safe and effective operation method of urethral rupture after pelvic fracture. Methods Twenty-four cases of posterior urethral rupture were all treated with urethra surgeries which were more than the end-to-end tension-pulling method. The pubic posterior gap was not separated during operation. Results The patients were followed up for 1 to 10 years. There were 2 cases of urethral stricture and 1 case of impotence. The urinary incontinence rate was 91.2%. Conclusions Urinary tract rupture after pelvic fracture should be the first choice of urethra division, over tension traction can reduce the incidence of urethral stricture, not after extensive pubic clearance can reduce the incidence of impotence.