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目的就改良后尿道会师牵引术治疗早期后尿道断裂进行探讨。方法选取2008年11月～2009年11月我院收治的112例男性后尿道损伤患者,本组全部患者行尿道会师牵引术,都在全麻下或硬膜外麻醉+腰麻。结果全部患者在手术后随访了1～5年,无1例患者出现尿道瘘或者尿失禁,有16例患者在手术后由于尿道狭窄而行二次手术,而其余的96例都得以治愈,治愈率85.7%。结论改良后尿道会师牵引术治疗早期后尿道断裂疗效较佳,副作用较少,安全有效,操作简便,可使患者康复时间大幅度减少,值得在临床上深入推广应用。
Objective To discuss the improvement of posterior urethral traction for the treatment of early posterior urethral rupture. Methods From November 2008 to November 2009, 112 male patients with posterior urethral injuries admitted to our hospital were enrolled in this study. All patients underwent urethral traction under general anesthesia or epidural anesthesia + spinal anesthesia. Results All patients were followed up for 1 to 5 years after operation. No patient developed urethral fistula or urinary incontinence. Sixteen patients underwent secondary surgery due to urethral stricture after operation. The remaining 96 patients were cured and healed Rate of 85.7%. Conclusion Improved urethral traction division treatment of early posterior urethral rupture better curative effect, less side effects, safe and effective, easy to operate, patients can significantly reduce the rehabilitation time, it is worth further clinical application.