尿道损伤的X线分类及临床应用

Apply of classification of X-ray for urethral injury in clinic

目的 :评价尿道造影对尿道损伤临床分类及处理的价值。方法 :对 40例尿道损伤患者进行尿道造影及临床分类 ,并按其分类进行相应的处理。结果 :行腔内处理及开放手术 2 5例 ( ～ 类 ) ,其尿道造影分类与手术所见对照 ,诊断符合率为 10 0 %。 36例按临床分类治疗者中仅 1例发生尿道狭窄 ,治愈率为 97.2 %。 4例未按临床分类治疗者均发生尿道狭窄。结论 :尿道造影对尿道损伤临床分类是一个无创、可靠的诊断方法 ,按此临床分类进行治疗 ,可减少尿道狭窄、阳萎的发生 。

Purpose:To evaluate the value of urethrography in classification and management for urethral injury. Methods:Standard of X ray diagnosis was adopted for clinical division.Retrograde urethrography was performed for 40 cases of urethral injury. Those patients were classified into 4 types according to X ray features and managed upon accordant principle of our different treatments. Results:Urethrography was performed for 25 cases of urethral injury ,who were classified Ⅱ~Ⅳ types and were operated. Make a contrast classification of urethrography with finding during operation, diagnostic corresponding rate was 100%. 36 cases were managed upon our different treatments, 1 case of them had been urethral stricture. The cure rate had been 97.2 %. 4 cases were not managed upon our different treatments and all had been urethral stricture.Conclusions:Retrograde urethrography was regarded as non injured and reliable diagnostic methods for clinical division in urethral injury. It is necessary that urethrography be performed for a patient with urethral injury, who was classified with difficulty depending on traumatic history, symptoms and signs.So that the patient was managed better upon accordant principle of different treatments. Complications of urethral stricture and impotence were reduced and cure rate was increased.