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作者在原工作单位榆林地区第一医院从1970～1990年共收治尿道损伤93例,报告如下。 临床资料 93例尿道损伤中,前尿道损伤27例,后尿道损伤66例,年龄4～71岁。 治疗方法 除合并伤根据伤情采取不同方法处理外,分别给以自行排尿,留置尿管,单纯膀胱造瘘、膀胱造瘘加尿道会师及修补吻合等治疗。 疗效与结果 疗效判定标准;①优良:排尿通畅,不需扩张;②良好:排尿通畅,可通过18号探子,需定期尿道扩张;③不良:排尿不畅,尿线细,费力,需频繁扩张或2期手术治疗。
The author in the former unit of Yulin first hospital from 1970 to 1990 were treated 93 cases of urethral injury, the report is as follows. Clinical data 93 cases of urethral injury, 27 cases of anterior urethral injury, urethral injury in 66 cases, aged 4 to 71 years. Treatment methods In addition to the combined injury according to the injury to take a different approach to treatment, were given to urinate, indwelling catheter, simple bladder fistula, bladder fistula plus urethral meeting and repair anastomosis and other treatment. Efficacy and outcome criteria; ① excellent: smooth urination, without expansion; ② good: voiding unobstructed, through the No. 18 probe, requiring regular urethral dilatation; ③ poor: poor urination, urinary fine, laborious and frequent expansion Or 2 surgical treatment.