论文部分内容阅读
自1982年6月～1986年4月我院对外伤性后尿道狭窄施行尿道套入术5例。效果满意。临床资料年龄:12～49岁。未婚青年3例。儿童1例,已婚成人1例。致伤原因:挤压伤两例,车祸3例。伤情:5例均为骨盆骨折合并后尿道损伤,其中合并肠破裂1例,胰腺损伤内出血1例,合并出血性休克1例。伤后两例行耻骨上膀胱造瘘,3例首次处理行尿道会师术,术后定期尿道扩张,但终因尿道狭窄,其中两例合并急性尿潴留而改行膀胱造瘘。病程:2个月～6年。手术方法与一般尿道套入方法基本相似。连续硬膜外麻醉,在耻骨上及会阴部联合切口(呈倒丫形)。手术要点:(一)充分游离前尿道,使尿道远端在无张力状态下套在后尿
From June 1982 to April 1986 in our hospital urethral traumatic urethral stricture in 5 cases. Satisfactory results. Clinical data age: 12 ~ 49 years old. 3 unmarried youth. 1 case of children, 1 case of married adults. Cause of injury: crush injury in two cases, a car accident in 3 cases. Injuries: 5 cases were pelvic fracture combined with urethral injury, including intestinal rupture in 1 case, 1 case of pancreatic injury hemorrhage, hemorrhagic shock in 1 case. Two patients underwent suprapubic cystostomy in the two cases, and the first treatment of the urethra was performed in 3 patients. Regular urethral dilatation occurred after the operation, but urethral stricture was eventually caused. Two cases had acute urinary retention and diverted bladder fistula. Course of disease: 2 months to 6 years. Surgical methods and general urethral nesting method is basically similar. Continuous epidural anesthesia, suprapubic and perineal incision (was inverted Ya-shaped). The main points of surgery: (A) full of free anterior urethral urethra in the absence of tension in the distal sleeve in the urine