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目的探索尿道损伤早期最佳处理方法。方法回顾性分析94例早期处理的尿道损伤患者的病例资料。结果前尿道损伤43例,球部尿道断裂26例,尿道破裂及挫伤17例,予尿道修补、对端吻合术21例,尿道镜下成功置尿管入膀胱12例,初次插尿管成功7例,3例单纯膀胱造瘘术行二次尿道修补术,共5例行尿道内切开术。后尿道损伤51例中单纯膀胱造瘘术3例,尿道会师术7例,尿道会师牵引术31例,其中改良尿道会师牵引术10例,对端吻合及修补术12例,共13例后尿道损伤后期再次行尿道内切开术。结论前尿道损伤经尿道镜置管可使病人免除手术,结合尿道内切开术可提高治愈率,尿道对端吻合手术疗效可靠。后尿道损伤改良会师牵引术可作为首选,应尽量避免单纯膀胱造瘘。
Objective To explore the best method of urethral injury early treatment. Methods A retrospective analysis of 94 cases of early treatment of urethral injury in patients with case information. Results There were 43 cases of anterior urethral injury, 26 cases of bulbinal urethral rupture, urethral rupture and contusion in 17 cases, urethral repair, anastomosis in 21 cases, urethral catheterization in 12 cases, urethral success 7 Cases, 3 cases of simple bladder ostomy urethral repair, a total of 5 cases of urethrotomy. 51 cases of posterior urethral injury in 3 cases of simple cystostomy, urinary tract division in 7 cases, urethral division traction in 31 cases, including improved urethral traction division surgery in 10 cases, 12 cases of end to end anastomosis and repair, a total of 13 cases of posterior urethra Late urethral incision again after injury. Conclusion Anterior urethral injury through urethral catheterization can make the patient free of surgery, combined with intra-urethral incision can improve the cure rate, urethral anastomosis surgery is reliable. Improvement of posterior urethral injury can be used as the first choice of traction, should try to avoid simple cystostomy.