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采用尿道会师牵引术治疗后尿道断裂伤40例。其中16例按常规方法,牵引1周,牵引力0.5~1.0kg,置管4周,随访3~8年,7例(43.75%)排尿正常,4例(25.00%)尿线较细、需多次尿道扩张恢复正常,5例(31.25%)尿道狭窄再次手术。24例改进牵引方法,牵引2周,牵引力在术中先试作牵引,使两断端恰好对合为度,置管3周,随访0.5~4年,除1例术后因气囊破裂,手术失败外,19例(79.17%)排尿正常,4例(16.67%)尿线较细,经2~3次尿道扩张后恢复正常。文中还对会师牵引术中应注意的几个问题进行了讨论。
Treatment of posterior urethral rupture using urethral traction division surgery in 40 cases. 16 cases were normal traction, 1 week traction, 0.5 ~ 1.0kg traction, 4 weeks follow-up, 3-8 years follow-up, 7 cases (43.75%) had normal urination and 4 cases (25.00% Urine thinner, need to repeatedly urethral dilatation returned to normal, 5 cases (31.25%) urethral stricture reoperation. 24 cases of improved traction method, traction for 2 weeks, traction in the first trial for traction, so that the two ends exactly coincidence degree, catheter 3 weeks, followed up 0.5 to 4 years, except for 1 case of postoperative rupture of the balloon 19 cases (79.17%) had normal urination and 4 cases (16.67%) had thinner urinary tract and returned to normal after 2 ~ 3 times of urethral dilatation. The article also discusses some issues that should be noticed in the practice of traction.