| 骨盆骨折并发后尿道断裂的早期治疗(附50例报告) |
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| 引用本文： | 陈时熙,陈建和,邱启劲,张建华,陈晓阳,吕振晔.骨盆骨折并发后尿道断裂的早期治疗(附50例报告)[J].临床泌尿外科杂志,2004,19(8):484-485. |
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| 作者姓名： | 陈时熙 陈建和 邱启劲 张建华 陈晓阳 吕振晔 |
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| 作者单位： | 浙江省天台县人民医院泌尿外科,浙江,天台,317200 |
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| 摘 要： | 目的：探讨后尿道断裂早期安全、合理、有效的治疗方法。方法：对50例后尿道断裂患者的早期处理进行回顾性对比分析，29例采用传统尿道会师气囊导尿管牵引术(A组)，21例采用膀胱颈会阴部贯穿牵引固定术(B组)。结果：A组治愈率65．5％，尿失禁6．8％，勃起功能障碍31％。B组治愈率90．4％．勃起功能障碍9.5％，无尿失禁。结论：膀胱颈会阴部贯穿牵引固定术方法简单、安全，能有效地恢复尿道的连续性，是早期处理后尿道断裂的首选方法。
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| 关 键 词： | 尿道损伤 骨盆骨折 尿道会师术 |
| 文章编号： | 1001-1420(2004)08-0484-02 |
| 修稿时间： | 2004年1月29日 |
The early treatment of posterior urethra disruption with pelvic fracture |
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| CHEN Shixi,CHEN Jianhe,QIU Qijin,ZHANG Jianhua,CHEN Xiaoyang,LU Zhengye.The early treatment of posterior urethra disruption with pelvic fracture[J].Journal of Clinical Urology,2004,19(8):484-485. |
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| Authors: | CHEN Shixi CHEN Jianhe QIU Qijin ZHANG Jianhua CHEN Xiaoyang LU Zhengye |
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| Institution: | CHEN Shixi1 CHEN Jianhe1 QIU Qijin1 ZHANG Jianhua1 CHEN Xiaoyang1 LU Zhengye1 |
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| Abstract: | Objective:To evaluate the safe and effective early treatment of posterior urethra disruption.Methods:Retrospective study was performed on the early treatment of 50 cases of transected posterior urethra, including conventional immediate urethral realignment in 29 cases(group A), and bladder neck-perineum transfixion and ligation in 21 cases(group B).Results:In group A,Cure rate, urinary incontinence and impotence were 65.5%, 6.8% and 31% respectively, and 90.4%, 9.5% and 0% respectively in group B.Conclusions:Bladder neck-perineum transfixion and ligation is a safe, simple and effective early treatment for posterior urethral disruption. |
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| Keywords: | Urethral injuries Pelvic fracture Urethral realignment |
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