外伤性膀胱破裂的诊断与治疗(附15例报告)  

Diagnosis and treatment of traumatic bladder rupture(Report of 15 case )

作　　者：欧平[1] 郑军[1] 邓晓洪[1] 

机构地区：[1]重庆市中山医院泌尿科,400013

出　　处：《中国医药指南》2008年第24期22-22,共1页Guide of China Medicine

摘　　要：目的探讨外伤性膀胱破裂的诊治方法。方法回顾分析1995～2007年本院收治的15例外伤性膀胱破裂患者的诊疗方法及其疗效。14例行膀胱灌注试验确诊,1例因尿道断裂行尿道会师术时发现。15例均行膀脱修补术,其中11例行膀胱造瘘术,4例仅留置导尿管引流。结果15例均痊愈,术后排尿正常。结论膀胱灌注试验结合腹腔穿刺是诊断膀胱破裂简单而可靠的方法。Objective To explore the methods of diagnosis and treatment of traumatic bladder rupture.Methods Between January 1995 and December 2007,the diagnosis,therapy and effect was retro- spectively analyzed on 15 patients with traumatic bladder rupture.14 cases were confirmed by the text of bladder irrigation,1was found in urethra reunion operation because of urethra disruption. All 15 patients underwent repair of bladder.Of which 11 cases underwent cystostomy and other 4 cases indwelling catheter. Results All patients were have healed,and urination recovered after surgery.Conclusion The test of bladder irrigation combined with abdominal paracentesis is a simple and reliable way to diagnose the traumatic bladder rupture.

关 键 词：膀胱破裂 膀胱灌注试验 膀胱修补术 

分 类 号：R694.6[医药卫生—泌尿科学]