论文部分内容阅读
外伤性尿道断裂是较常见的外科急症。临床上应尽早恢复尿道的连续性,一般予以留置导尿管。尿道完全或部分断裂者则需作会阴切口置入导尿管,行尿道修补或吻合术。但此类患者常因局部组织损伤严重,近段尿道上缩而很难找到断裂尿道口,迫使作耻骨上膀胱切开行尿道会师术。在临床实践中我们观察到,只要轻轻按压下腹部膀胱区,手术视野中可见一泉样尿柱,用无齿镊子提起其周围组织,持导尿管向不断喷出的尿柱位插去,一般均能很顺利地将尿管置入膀胱内,我们将上法反复试用均获成功。
Traumatic urethral rupture is the more common surgical emergency. Urinary tract should be restored as soon as possible clinical continuity, generally indwelling catheter. Complete or partial urethral rupture is required for the perineal incision into the catheter, urethral repair or anastomosis. However, such patients often due to severe local tissue damage, proximal urethra shrinkage and it is difficult to find the fracture of the urethra, urinary bladder forcing the urethra incision surgery. In clinical practice, we observed that as long as gently press the lower abdomen bladder area, a spring-like urine column can be seen in the surgical field of view, and its surrounding tissue is lifted with toothless tweezers, and the catheter is inserted into the constantly urinating urine column , Generally can be very smooth tube into the urinary bladder, we will try repeatedly on the law were successful.