263例后尿道损伤的早期治疗

目的：探讨尿道损伤早期安全、合理、有效的治疗方法，方法对２６３例后尿道损伤的早期处理进行回顾性分析，尿道不全断裂行尿道插管成功２１例；尿道完全断裂行尿道会师术（包括会师＋Ｆｏｌｅｙ尿管奇引术）１７８例，尿道吻合术１１例，病情危重者仅行耻骨上膀胱造瘘术５３例。结果留置尿管的２１例中，排尿通畅１８例，排尿接近正常２例，失败１例；１５１例（８４．８％）行尿道会师术者得到治愈；９例（８１．８％）行尿道吻合

Early management of 263 cases of posterior urethral injury

Objective To explore safe and effective managements for posterior urethral injury. Methods Early treatment of 263 cases of posterior urethral injury has been studied retrospectively. Simple catheterization was adopted in 21 cases of partial disruption, urethral reunion operation with or without a Foley catheter traction in 178 cases, prompt urethral anastomosis in 11,simple cystostomy in 53. Results Among 21 patients with simple catheterization, 18 had normal urination,2 needed several dilatation after the initial management. 1 failed. The success rate for urethral reunion operation with or without a Foley catheter traction was 84.8%.The success rate for prompt urethral anastomosis was 81.8%. Conclusions Urethral reunion operation has the advantages of simple, easy to use, good effect, small trauma and less complications, and is the first option for urethral injury. For serious and risk patients, suprapubic cystostomy is advisable.