| 损伤严重程度评分在骨盆骨折并后尿道断裂治疗中的应用 |
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| 引用本文： | 刘流,梁德江,戴群生,王海,李宪. 损伤严重程度评分在骨盆骨折并后尿道断裂治疗中的应用[J]. 中华泌尿外科杂志, 2001, 22(3): 167-169 |
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| 作者姓名： | 刘流 梁德江 戴群生 王海 李宪 |
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| 作者单位： | 1. 北京大学第四临床医学院，北京积水潭医院泌尿外科 100035
2. 北京大学第四临床医学院，北京积水潭医院统计室 100035 |
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| 摘 要： | 目的：探讨损伤严重程序评分（ISS）在骨盆骨折并后尿道断裂治疗中应用的意义。方法以AIS－90版为基础，采用ISS评分对293例男性闭合性骨盆骨折并后尿道断裂病人进行评估分析。结果ISS值随损伤部位数增加而增高，ISS值高，死亡率亦高，Ⅰ期尿道吻合组ISS＜16分，尿道会师术组ISS16－39分，膀胱造瘘组ISS平均≥40分。结论骨盆骨折并后尿道断裂为多发损伤，尿道断裂急症处理方法的选择应根据病人伤情程度及局部情况等决定，ISS评分在骨盆骨折并后尿道断裂的治疗选择中有重要的指导意义。
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| 关 键 词： | 尿道断裂 损伤严重程度评分 骨盆骨折 治疗 |
| 修稿时间： | 2000-07-15 |
The association of injury severity score to the management of pelvic fracture complicated by urethral disruption |
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| LIU Liu,LIANG Dejiang,LI Xian,et al.. The association of injury severity score to the management of pelvic fracture complicated by urethral disruption[J]. Chinese Journal of Urology, 2001, 22(3): 167-169 |
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| Authors: | LIU Liu LIANG Dejiang LI Xian et al. |
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| Affiliation: | LIU Liu,LIANG Dejiang,LI Xian,et al.Department of Urology,Beijing Jishuitan Hospital,Beijing 100035,China |
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| Abstract: | Objective To evaluate the association between the injury severity score (ISS) and the management of pelvic fracture complicated by urethral disruption. Methods The management of 293 cases of pelvic fracture complicated by urethral disruption was reviewed and analyzed as to evaluate its association with ISS. Results In the instant urethral anastomosis group,ISS was less than 16;in the urethral realigment group between 16 and 39;in the cystostomy group greater than 40. Conclusions The instant management of pelvic fracture complicated by urethral disruption closely depends on the general and local condition of the patient.ISS may provide useful dada for the choice of the treatment. |
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| Keywords: | Urethral disruption Injury severity score (ISS) |
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