尿道外伤是泌尿外科常见急诊,也是部队在训练和施工中常见的外伤之一。对后尿道损伤国内大多数学者倡导早期施行尿道会师牵引术,我院在救治过程中对此术式作了部分改进,临床应用效果良好,现报告如下。手术方法麻醉成功后患者取仰卧臀部垫高位,常规消毒术野,铺巾。取下腹正中切口,切开腹壁各层,清理耻骨后血肿。打开膀胱,自膀胱向尿道内插入普通导尿管(a),前端自尿道断裂处牵出;另从尿道外口插入气囊导尿管(b),端部自尿道断裂处牵出、两管端以丝线缝合(图1)。牵拉两管尾部,将尿管降入尿道内,再牵拉管a,将b管带入膀胱(图2)。b管气囊充水15～20ml,牵引,去除a管,置膀胱造瘘 Urethral trauma is a common emergency in urology and is also one of the most common traumatic injuries in training and construction. On the urethral injury most domestic scholars advocate the early implementation of urethral traction division, our hospital in the treatment process of this operation made some improvements, clinical application of good results, are as follows. Surgical methods After the success of anesthesia supine hip pad patients take high, routine disinfection field, shop towel. Remove the median incision in the abdomen, incise abdominal layers, clear the puborectalis hematoma. Open the bladder, from the bladder to the urethra into the general catheter (a), the front pull out from the urethra; the other from the urethral balloon catheter inserted outside (b), the end of the urethral traction pull out, the two tubes Sutured with silk thread (Figure 1). Pull the two ends of the tail, the catheter into the urethra, and then pull the tube a, the b tube into the bladder (Figure 2). b tube air bag filled with water 15 ~ 20ml, traction, remove a tube, set the bladder fistula