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目的探讨骨盆骨折合并后尿道损伤的急诊救治方法。方法回顾性分析39例骨盆骨折合并尿道损伤患者的临床资料。结果后尿道部分断裂单纯留置尿管并进行常规尿道扩张6例;尿道完全断裂无其他严重并发症者行尿道会师牵引,拔管后常规扩张尿道23例;合并其他严重脏器损伤,且生命体征不稳定者行单纯膀胱造瘘术10例,术后4~8个月行Ⅱ期尿道手术。结论早期行单纯尿道会师牵引是骨盆骨折合并尿道损伤的主要治疗方法,可以避免部分患者再次尿道手术和减少术后并发症。
Objective To investigate the emergency treatment of pelvic fracture combined with urethral injury. Methods Retrospective analysis of 39 cases of pelvic fractures with urethral injury in patients with clinical data. Results The posterior urethra was partially ruptured and the urethra was simply dilated in 6 cases. The urethra was completely ruptured without any other serious complications. The urethra was instructed to pull the urethra, and the urethra was routinely expanded after the extubation. Twenty-three cases were complicated with other serious organ injuries and the vital signs Instability of the simple bladder ostomy in 10 cases, 4 to 8 months postoperative urethral surgery. Conclusion Early urethral traction alone is the main treatment of pelvic fracture combined with urethral injury, to avoid some patients re-urethral surgery and reduce postoperative complications.