我院自1990～1998年对前尿道断裂病人在试插导尿管失败后,采用工期尿道修补端端吻合术治疗15例,取得满意疗效,现作回顾性总结分析如下。 1 资料与方法 1.1 一般资料:本组15例均为男性,年龄10～55岁,平均34岁。致伤原因:车祸13例,坠落伤1例,撞击伤(1例)所致骑跨伤。临床表现均为伤后不能自行排尿,均合并不同程度会阴部血肿及尿外渗,入院后均试插导尿管失败后改行Ⅰ期尿道修补吻合术治疗。 1.2 手术方法:相应麻醉准备就绪后,患者取截石位,在阴囊与肛门之间,采用倒U字形切口,依 In our hospital from 1990 to 1998 on the urethral fracture patients after failed catheterization, the use of urethral repair of end-stage anastomosis treatment of 15 cases, and achieved satisfactory results, are retrospectively summarized as follows. 1 Materials and Methods 1.1 General Information: The group of 15 patients were male, aged 10 to 55 years, mean 34 years. Cause of injury: car accident in 13 cases, fall injury in 1 case, impact injury (1 case) caused by riding injury. Clinical manifestations are not self-injury after urination, were combined with varying degrees of perineal hematoma and urinary extravasation, after admission catheterization failed test after the conversion of urethral repair anastomosis. 1.2 surgical methods: the corresponding anesthesia ready, the patient take lithotomy position, between the scrotum and the anus, inverted U-shaped incision, according to