现代医院2009，Vol.9Issue(8)：62-63,2.DOI:10.3969/j.issn.1671-332X.2009.08.032
男性尿道损伤早期手术方式的选择
CHOICE OF SURGICAL PROCEDURES IN THE EARLY STAGE OF THE URETHRAL INJURY OF MAN
陈光耀 1梁健峰 1关登海 1阮永同 1周如铁 1何京伟1
作者信息
摘要
Abstract
Objective To observe the best treating method in the early stage of the urethral injury of man.Methods Retrospective analysis was done on the primary managements of 60 cases of urethral injuries of man.There were part urethrobulbar rupture in 15 cases, to them were retained urethral catheter for 3 weeks.And there were complete urethrobulbar rupture in 45 cases, among them 20 cases were given end-to-end anastomosis, cystostomy was performed in 10 cases, and internal realigment was done in 15 cases.Results The incidence of urethral stricture is 20.0% among the part urethrobulbar rupture, and the incidence of impotence was 0%.Urethral stricture was an inevitable consequence(100.0%of the cases)after suprapubic cystostomy, and the incidence of impotence was 40.0%.Primary realignment with traction decreased the incidence of stricture to 80.0% but produced a 26.7% impotence rate.Primary suturing also decreased the incidence of stricture to 15.0%, and the incidence of impotence was 35.0%.Conclusion Part urethrobulbar rupture treated with retained urethral catheter gets good results;complete urethrobulbar rupture treated with end-to-end anastomosis also gets good results, internal realignment is less-wounded.Suprapubic cystostomy alone is indicated for critically unstable patients.关键词
尿道/损伤/治疗方法Key words
Urethra, Injuries, Operative procedures分类
医药卫生引用本文复制引用
陈光耀,梁健峰,关登海,阮永同,周如铁,何京伟..男性尿道损伤早期手术方式的选择[J].现代医院,2009,9(8):62-63,2.
