新鲜后尿道断裂伤手术治疗分析

目的　探讨外科几种不同术式对新鲜后尿道断裂伤的治疗作用 ,判断临床疗效。方法　 3 5例新鲜后尿道裂伤的病例 ,行尿道会师术、膀胱造瘘术、尿道断端吻合术、膀胱会阴部贯穿牵引固定术。结果　疗效优良 19例 (54 3 % ) ,较好 7例 (2 0 % ) ,较差 9例 (2 5 7% )。结论　早期行尿道断端吻合术或膀胱会阴部贯穿牵引 ,能很好恢复尿道的连续性 ,尿道对位好 ,效果确切。单纯尿道会师术或膀胱造瘘术 ,临床效果欠佳

Experience of operative therapy in fresh rupture of posterior urethra

Objective To investigate vari ou s operative methods in treatment of new posterior urethra rupture and to evaluat e its clinical effect.Methods Thirty five cases of fresh poter ior urethra rupture were operated in emergency including combination of urethra, fistulization of bladder,anastotomosis of urethra rupture end,bladder perineal t rans traction.Results The theraputic effects were excellent in 19 cases(54.3%),better in 7 cases(20%)and unstastisfied in 9 cases(25.7%).Conclusion Early urethra end to end anastomosis or cystoperinial tran strastion had satisfactory recovery effect in the continuation of urethra,right position anastomosis and good result.While simple urethra anastomosis or fistuli zation of bladder had unsatisfactory clinical effect.