论文部分内容阅读
目的探讨骨盆骨折合并后尿道断裂的手术方法,提高手术成功率。方法将我院收治的因不同外伤而导致骨盆骨折合并后尿道断裂的18例患者,在伤后6～24h内完成尿道会师+尿道断端部分吻合或周围组织缝合+术后牵引。结果术后随访6个月～9年,失访4例,有3例因各种原因未按时定期扩张而导致尿道变细,其他按期按序持续扩张1～2年而愈,2例出现勃起功能障碍。结论坚持定期行尿道扩张,尿道会师术术式简单易学,效果好,适合在基层医院推广应用。
Objective To investigate the operative methods of posterior urethral rupture associated with pelvic fractures and improve the success rate of surgery. Methods 18 cases of pelvic fractures combined with urethral rupture caused by different trauma in our hospital were treated with urethral instrumentation + partial urethral anastomosis or tissue suture + postoperative traction within 6 ~ 24h after injury. Results The patients were followed up for 6 months to 9 years. There were 4 patients lost to follow-up, and 3 patients were not regularly and regularly expanded due to various reasons, causing the urethra to become thinner. The other patients continued to expand for 1 to 2 years according to the sequence and more, and 2 patients showed erection disfunction. Conclusion Adhering to the regular urethral dilatation, urethral division technique is easy to learn, effective, suitable for promotion and application in primary hospitals.