25例膀胱破裂的诊治体会

目的 :对 2 5例膀胱破裂患者进行回顾性研究 ,探讨其诊断和治疗方法。方法 :3例保守治疗 ,2 2例行手术修补 ,其中 5例行膀胱造瘘术。有腹腔脏器损伤予以相应处理。所有病例均留置导尿管 8天以上 ,行膀胱冲洗 ,抗感染治疗。结果 :1例术前死亡 ,2 4例治愈 ,随访排尿正常。结论 :膀胱灌注试验结合腹腔穿刺检查是膀胱破裂简单而可靠的诊治方法。手术是主要的治疗方法 ,非手术疗法应掌握其适应证

Diagnosis and treatment of bladder rupture:report of 25 cases

Objective:To explore the methods of diagnosis and treatment of bladder rupture.Methods:3 cases received non operation therapy,22 cases received surgical treatment (5 cases underwent suprapublic cystostomy).We dealt with the damged internal organs of the visceral cavity in the laparotomy inspection.All patients used inserted Foley catheter above 8 days,While the bladders were rinsed out and antibiotics were applied.Results:One case died before the operation,24 cases were cured successfully.Conclusions:The test of bladder irrigation combied with abdominal Paracentedsis is a simple and reliable way to diagnose the bladder rupture.Surgical intervention is a primary option of therapy.We should grasp the indieation of the non-operation treatment way.