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1973~1994年5月共收治骨盆骨折所致的后尿道断裂54例,其中行早期尿道吻合33例,亚早期尿道吻合9例,占77.8%(42/54),均取得满意效果。尿道断裂早期组织弹性好,无粘连,无瘢痕,可以达到解剖对位。手术同时可以清除血肿及外渗尿液,减少感染及狭窄机会。对合并休克的病人在休克纠正后,处理其他复合伤的同时力争尽早行尿道对端吻合术。对伤情严重的病人经抢救休克处理复合伤,生命指标平稳后行亚早期手术仍有手术方便,效果可靠等优点,且更具安全性。本组无一例因早期、亚早期手术而出现其他并发症或死亡。
From May 1973 to May 1994, 54 cases of posterior urethral rupture caused by pelvic fractures were treated, including 33 cases of early urethral anastomosis, 9 cases of sub urethral anastomosis, accounting for 77.8% (42/54), all of which achieved satisfactory results. Early urethral tissue elasticity, no adhesions, no scars, anatomical alignment can be achieved. Surgery can remove hematoma and extravasation of urine, reduce infection and stenosis. In patients with shock after the shock correction, while dealing with other complex injuries and strive to end urethral anastomosis. Severe cases of patients treated by salvage shock treatment of complex injuries, life after the smooth line of sub-early surgery is still easy to operate, the effect is reliable, and more secure. No one in this group because of early, sub-early surgery and other complications or death.