目的总结我院近 7年收治的 18例因外伤致骨盆骨折并后尿道完全断裂患者的诊治经验。方法通过对 18例严重的骨盆骨折并后尿道完全断裂、膀胱前列腺上浮 ,采用尿道前壁 (部分 )吻合加牵引方法 ,观察术后排尿、性功能情况。结果 18例患者拔管后均能正常排尿 ,第 2天及 1周后各行尿道扩张一次 ,以后根据排尿情况决定是否继续扩张 ;随访 14例 ,排尿情况均良好。性功能情况 :4例完全不能勃起 ;3例勃起不坚 ,但能完成性交 ;7例与受伤前无差别。结论采用尿道前壁 (部分 )吻合加牵引 ,操作较简单 ,创伤小又能清除、引流断端周围血肿及尿外渗 ,术后引起尿道狭窄及性功能障碍发生率低。 Objective To summarize the diagnosis and treatment of 18 cases of pelvic fractures caused by trauma and complete rupture of the posterior urethra in our hospital in recent 7 years. Methods 18 cases of severe pelvic fractures with complete posterior urethra rupture and bladder prostatic hyperplasia were treated with anterior urethral anastomosis plus traction method to observe the postoperative urination and sexual function. Results Eighteen patients were extubated normal urination, the first two days and one week after each urethral dilatation, according to urination decide whether to continue to expand; follow-up of 14 cases, urination were good. Sexual function: 4 cases were unable to erect; 3 cases were not strong, but able to complete intercourse; 7 cases and no difference before injury. Conclusions The anterior urethral anastomosis plus traction is relatively simple, the trauma is small and can be removed. The perihematomal hematomas and extravasation around the drainage end of the urethra lead to the low incidence of urethral stricture and sexual dysfunction.