尿道损伤的分类处理244例分析

Analysis of 244 cases of urethral injury managed by classification

目的 :探讨不同类型尿道损伤的处理方法。方法 :回顾性分析 2 44例尿道损伤的分类和治疗资料。结果 :急性尿道损伤后有排尿困难者 ,行耻骨上膀胱穿刺加短期保留导尿 ;不能排尿 ,而非后尿道损伤 ,早期行尿道端端吻合修补术 ;后尿道完全断裂伤 ,早期行会师加牵引术 ;陈旧性尿道损伤 ,而非后尿道狭窄或闭锁 ,行瘢痕切除尿道对端吻合 ;后尿道狭窄 ,行瘢痕激光气化切除。结论

Purpose:To explore effective method to manage different kinds of urethral injury.Method:A retrospective analysis of classification and treatment of 244 cases of urethral injury admitted in our hospital from April.1984 to Feb.2000.Results:Dysuria appears after acute urethral injury.Urinary bladder puncture at superior pubis & short period of indwelling urethral catheterization is a simple and effective method.In cases of voiding difficulty and non posterior urethral injury,stress is laid on early repair by urethral termino terminal anastomosis.For complete rupture of posterior urethra,early realignment & traction is preferable.For protracted urethral injury,non posterior urethral stricture or atresia,scar removal and urethral terminoterminal anastomosis is performed.For posterior urethral stricture,scar laser evaporation removal is the first choice.Conclusion:In treating urethral injury,proper classification and selection of different methods of treatment are necessary according to degree and location of the injury.