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后尿道断裂较为常见,目前国内外较广泛采用的治疗方法是会师牵引,但术后尿道狭窄的发生率很高,需要多次扩张尿道,治疗困难.近年来,对后尿道断裂采用早期对端吻合修补,已渐被重视。我院外科自1975年以来,对部分新鲜后尿道断裂,在条件许可的情况下,采用早期吻合修补,术后处理加以改进,经过三年观察,效果尚好。一般资料骨盆骨折并尿道断裂8例,会阴严重损伤并球部断裂5例(其中伴直肠破裂1例、膀胱破裂1例),共13例,经手术对端吻合,获得良好效果.效果良好的标准:排尿通畅,尿线较粗,F18~21尿道探通过顺利.少数偶尔
Posterior urethral rupture is more common, the most widely used treatment at home and abroad is the division of traction, but the incidence of postoperative urethral stricture is high, requiring multiple expansion of the urethra, the treatment is difficult.In recent years, Anastomosis repair, has gradually been taken seriously. Surgery since 1975 in our hospital, some of the fresh posterior urethral rupture, where conditions permit, the use of early anastomosis, postoperative treatment to be improved, after three years of observation, the effect is good. General Information Pelvic fracture and urethral rupture in 8 cases, severe perineal injury and ball rupture in 5 cases (with rectal rupture in 1 case, 1 case of bladder rupture), a total of 13 cases, the end of the operation by anastomosis, with good results. Standard: smooth urination, thick urinary tract, urethral exploration F18 ~ 21 passed a few occasional