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本文总结我院1976～1989年107例尿道损伤的早期尿道处理经验体会。Ⅰ类损伤9例(8.5%),Ⅱ类损伤31例(29%),Ⅲ类损伤39例(36.5%),尿道修补吻合术27例,优良率96%,尿道会师术12例,优良率83%,Ⅳ类损伤28例(26%),尿道吻合术17例,吻合加牵引、固定术7例,优良率85.7%。其中出血性休克16例。作者认为;(1)Ⅲ类损伤应争取作早期尿道修补、吻合术;(2)尿道吻合术,吻合加牵引、固定术在Ⅳ类损伤中均为较理想的手术方法;(3)尿道会师加Foley氏导尿管牵引术在后尿道断裂并发出血性休克中仍为简单而有效的早期尿道处理方法。
This article summarizes our hospital from 1976 to 1989 107 cases of urethral injury experience of early urethral management experience. 9 cases (8.5%) were type Ⅰ injury, 31 cases (29%) had type Ⅱ injury, 39 cases (36.5%) had type Ⅲ injury, and 27 cases had urethral repair and anastomosis. The excellent and good rate was 96% 83%, class Ⅳ injury in 28 cases (26%), urethral anastomosis in 17 cases, anastomosis plus traction and fixation in 7 cases, the excellent and good rate was 85.7%. Hemorrhagic shock in 16 cases. The authors believe that: (1) Ⅲ type of injury should strive for early urethral repair, anastomosis; (2) urethral anastomosis, anastomosis plus traction, fixation in the class Ⅳ injury are more ideal surgical methods; (3) Plus Foley’s catheterization is still a simple and effective early urethral approach to posterior urethral rupture and hemorrhagic shock.