创伤性膀胱破裂的诊断与治疗(附47例报告)

Diagnosis and therapy of traumatic rupture of bladder (report of 47 cases)

目的 总结创伤性膀胱破裂的诊治经验。方法 回顾分析 1978～ 2 0 0 0年收治的 47例创伤性膀胱破裂患者的诊疗方法及其疗效。 45例行膀胱灌注试验确诊 ,2例因尿道断裂行尿道会师术时发现。 47例均行膀胱修补术 ,其中 3 5例行膀胱造瘘术 ,12例仅留导尿管引流。结果 47例中 2例 (4 .3 % )因严重合并伤及休克死亡 ,余 45例均治愈 ,术后排尿正常。结论 膀胱灌注试验结合腹腔穿刺检查是诊断膀胱破裂简单而可靠的方法 。

Objective To summarize the diagnosis and therapy of traumatic rupture of bladder.Methods Between January 1987 and December 2000,the diagnosis,therapy and effect was retrospectively analyzed on 47 patients with traumatic rupture of bladder.45 cases were finally diagnosed with bladder perfusion,2 were found in urethra reunion operation because of urethra disruption.47 cases were surgically treated with open repair,35 cases with bladder fistulization and 12 only with bladder catheterization.Result 2 of 47 cases died because of shock and serious combined injury.45 were have healed,and urination recovered after surgery.Conclusions Intravesical perfusion with water of bladder and abdominal puncture are simple and reliable method to diagnose rupture of bladder.Repairing of bladder is a important measure to therapy rupture of bladder.