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我院1967～1980年,收治新鲜尿道外伤79例,伤后陈旧性尿道狭窄(以下称尿道狭窄)69例,共148例.其中会阴部直接伤(球部)85例,骨盆骨折并发后尿道伤63例.69例尿道狭窄病人入院前,有44例曾作过尿道手术1～3次,尿道均保留尿管;另25例伤后当时尿道未作任何处理,仅用药物治疗痊愈,但在伤后10天到42年终因尿道狭窄,尿潴留住院.治疗方法对新鲜尿道外伤,先试插导尿管,如成功则留置尿管2～3周,插管失败者分别处理,若为后尿道损伤行会师术;若为球部损伤酌情行会师或尿道吻合术.对狭窄病人先扩尿道,如失败则准备手术,待腰麻后2次试扩尿道,若成功即留置尿管,
In our hospital from 1967 to 1980, treated 79 cases of fresh urethral trauma, 69 cases of old urethral stricture (hereinafter referred to as urethral stricture), a total of 148 cases, of which 85 cases of perineal direct injury (ball), pelvic fracture complicated posterior urethra 63 cases of injury.66 cases of urethral stricture before admission, 44 cases had been urethral surgery 1 to 3 times, the urethra are retained catheter; the other 25 cases were not treated urethra any treatment, only drug treatment healed, but 10 days after injury to the end of 42 due to urethral stricture, urinary retention in hospital Treatment of fresh urethral trauma, the first catheter inserted catheter, such as successful indwelling catheter 2 to 3 weeks, intubation failure were treated, if Urethral injury after the line of surgery; if the Department of ball injury, as appropriate, if the line of practice or urethral anastomosis. Narrow urethra in patients with preoperative expansion, such as the failure is to prepare surgery to be 2 times after spinal anesthesia to test the urethra,