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目的 探索尿道损伤早期最佳治疗方法。 方法 回顾性分析 1 2 8例尿道损伤早期处理。 结果 球部尿道部分损伤 1 2例 ,留置尿管 2周治愈。球部尿道完全断裂 48例 ,行对端吻合术 3 9例 ,窥镜下置管术 4例均得到治愈 ,膀胱造瘘 5例需再次手术。另外 68例中男性后尿道损伤 51例、儿童 6例、女性尿道损伤 1 1例 ;行膀胱造瘘 2 4例 ,仅 2例伤后 3个月恢复自行排尿 ;会师引 2 3例 , 1 8例排尿通畅 ;对端吻合及修补术 2 1例 , 1 9例治愈。 结论 球部尿道断裂对端吻合术疗效良好 ,窥镜下经尿道置管术可使部分病人免除手术 ,改进后的尿道会师术创伤小 ,可作为后尿道损伤首选方法 ,对膀胱颈断裂、女性及儿童后尿道断裂应争取行对端吻合Ⅰ期尿道修补术。
Objective To explore the best early urethral injury treatment. Methods A retrospective analysis of 128 cases of early treatment of urethral injury. Results partial urethral ball injury in 12 cases, indwelling catheter cured 2 weeks. 48 cases of complete urethral bulb rupture, end-to-end anastomosis 39 cases of endoscopic tube underwent surgery in 4 cases were cured, 5 cases of bladder fistula need reoperation. Another 68 cases of male urethral injury in 51 cases, 6 cases of children, female urethral injury in 11 cases; line cystostomy 24 cases, only 2 cases 3 months after injury to restore their own urination; Cases of voiding patency; opposite anastomosis and repair 21 cases, 19 cases of cure. Conclusions Department of urethral rupture of the bulb has a good curative effect on end-to-end anastomosis. Under endoscopic transurethral catheterization, part of patients can be relieved of operation. The improved urethra will be less invasive and can be used as the first choice for posterior urethral injury. And children with posterior urethral rupture should strive for end-to-end anastomosis urethral repair.