会师牵引加骨盆复位治疗后尿道断裂30例

Treatment of posterior urethral disruption by realignment with traction and pelvic reduction in 30 cases

目的 :探讨骨盆骨折后尿道断裂的理想治疗方法。方法 :对采用尿道会师牵引加骨盆复位治疗的30例骨盆骨折后尿道断裂患者的临床资料进行分析。结果 :25例短期预防性尿道扩张后排尿满意 ,2例需定期尿道扩张 ,3例尿道狭窄后行尿道端端吻合治愈 ,并发阳萎2例。结论 :本法操作简单、创伤小、并发症少 ,是治疗骨盆骨折后尿道断裂较为合理、有效的方法。

Objective:To study the ideal treatment for pelvic fracture with posterior urethral disruption.Methods:30 patients of pelvic fracture with posterior urethral disruption who were treated by realignment with traction and pelvic reduction were analysed.Results:Micurition after short-term preventive urethral dilatation was satisfactory in 25 cases.Urethra needed dilatation regularly in 2 cases,3 cases with urethral stricture were treated with urethral anastomosis.2 cases were complicated by impotence.Conclusion:This method of realignment with traction and pelvic reduction is a safe.simple and effective way for treating pelvic fracture with posterior urethral disruption,with less trauma and comlication. [