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骨盆骨折伴后尿道断裂的早期处理
引用本文:冷国雄,吴涛,章久武,王宝鑫. 骨盆骨折伴后尿道断裂的早期处理[J]. 实用全科医学, 2006, 4(2): 169-170
作者姓名:冷国雄  吴涛  章久武  王宝鑫
作者单位:安徽省黄山市第一人民医院泌尿外科 245000
摘    要:
目的探讨骨盆骨折伴后尿道断裂伤早期安全、有效的治疗方法。方法回顾性总结28例骨盆骨折伴后尿道断裂患者采用简化的尿道会师加牵引术,术后适时辅以尿道扩张的临床治疗效果。结果本组随访24例中21例能正常排尿,治愈率为87.5%;阳萎(ED)3例。结论在骨盆骨折合并后尿道损伤中,应用尿道会师加牵引术,拔管后及时尿道扩张的方法简单、安全,能有效地恢复尿道功能的排尿连续性,是早期处理后尿道断裂伤的首选方法。

关 键 词:尿道损伤  骨盆骨折  尿道会师术
文章编号:1672-1764(2006)02-0169-02
收稿时间:2005-12-15
修稿时间:2005-12-15

Early Management for Urethral Posterior Disruption with Fracture of Pelvis
LENG Guoxiong,WU Tao,ZHANG Jiuwu,et al.. Early Management for Urethral Posterior Disruption with Fracture of Pelvis[J]. Applied Journal Of General Practice, 2006, 4(2): 169-170
Authors:LENG Guoxiong  WU Tao  ZHANG Jiuwu  et al.
Affiliation:LENG Guoxiong,WU Tao,ZHANG Jiuwu,et al.Department of Urology,Huangshan People's Hospital,Anhui245000,China
Abstract:
Objective To evaluate the early safe and effective method to treat the urethral posterior disruption with fracture.Methods The clinical data of28cases with posterior disruption with fracture were treated with simplified urethral realignment combined with reaction.The urethra dilation was processed after operation properly.Results 21cases in24cases were with normal emiction and the curative rate was87.5%.3cases were with impotence.Conclusions The urethral realignment and reaction associated with urethra dilation were simple,safe and effective in the early treatment of the urethral posterior disruption with fracture.
Keywords:Urethral injury  Fracture of pelvis  Urethral realignment
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