关键词:尿道;创伤与损伤;外科,手术
摘要 报告8例女性骨盆骨折致尿道断裂,经耻骨后行尿道修补对端吻合者4例,经会阴行尿道修补者2例,均一期恢复正常排尿;会师牵引者2例,术后1例恢复正常,1例需二期手术。对完全性尿道断裂者,强调早期行尿道断端吻合术。
The management of urethral injury in female (report of 8 cases) Wu Genhe, Xu Bin, Zhang Jian, Department of Urology, the 98th Hospital of PLA, Huzhou 313000
Abstract 8 cases of traumatic disruption of the female urethra were reported, pelvic fracture being the primary cause in all. Transabdominal repair or anastomosis of the disrupted ends was carried out for 4 patients and transperineal repair of the injured urethra for another 2. Primary healing and normal micturation have been achieved in all the 6 patients with no need of urethral sounding. In 2 cases, the alignment of the disrupted ends was achieved by synchronous transvesical and transurethral sounding. Urethral stenosis occurred later in one of the 2 patients needing a secondary operation to cure of the condition. Urethra repair and anastomosis of the disrupted ends were recommended.
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