骨盆稳定性对尿道会师术成功的影响

目的探讨影响尿道会师术成功的因素,明确置管时间.方法将88例骨盆骨折合并尿道完全断裂的患者分为三组进行回顾性临床研究.第一组24例,采用术后留置导尿管4周以下的尿道会师术;第二组38例,采用术后留置导尿管6周以上的尿道会师术;第三组26例,应用尿道会师+骨盆复位及固定治疗.手术方法也略做改进.结果经统计学处理,第一组与第二组及第三组的尿道狭窄发生率有显著性差异(P<0.005).结论尿道会师术仍然是比较好的治疗骨盆骨折合并尿道断裂的方法.留置导尿管至骨盆稳定是尿道会师手术成功的重要因素之一.

The fixity of the pelvic,the important influence factor for urethral realignment

Objective To evaluate the factors which influence the result of urethral realignment and to assess the opitmal duration of indwelling catheter.Methods 88 cases of posterior urethral rupture complicating pelvic fracture were divided into three groups by using the different methods.In the first group,traditional urethral realignment operation was performed in the 24 cases.In the second group,38 cases'duration of indwelling catheters was prolonged to more than 6 weeks.In the third one,26 cases were received not only urethral realignment operation but also pelvic replacement and fixation.The urethral stricture rates were comparatively studied in all the groups.The technique of urethral realignment was also improved.Results The urethral stricture rate in the first group was significantly higher than that in the other two groups ( P <0.005).Conclusions Urethral realignment is still the main management for the urethral rupture complicating pelvic fracture.It is important to keep the catheter till the pelvic is steady.