一期联合手术治疗不稳定型骨盆骨折并发后尿道断裂伤5例报告  

Primary combined operation for the treatment of the patients with unstable type pelvic fracture and posterior urethra rupture

作　　者：沈利扬[1] 高志朝[2] 

机构地区：[1]杭州市余杭区第一人民医院泌尿外科,杭州311100 [2]杭州市余杭区第一人民医院骨科

出　　处：《临床泌尿外科杂志》2008年第10期758-759,共2页Journal of Clinical Urology

摘　　要：目的:探讨一期联合手术治疗不稳定型骨盆骨折并发后尿道断裂伤的可行性。方法:自2001年6月～2007年6月,共收治骨盆骨折并发尿道断裂患者24例。对其中5例不稳定型骨盆骨折并发后尿道断裂伤的患者采取急诊尿道吻合或尿道会师术,同期行骨盆骨折复位内或外固定术。术后均随访,时间为3～12个月。结果:1例发生耻骨后感染,无死亡和尿道二期手术;术后随访,3例患者排尿满意,2例出现不同程度的排尿困难,经定期尿道扩张后排尿满意。结论:骨盆骨折的早期复位和有效固定是实现尿道修复的解剖基础。一期联合手术治疗不稳定型骨盆骨折并发后尿道断裂伤是可行的。Objective：To investigate the feasibility of primary combined operation for the treatment of the patients with unstable type pelvic fracture and posterior urethra rupture. Methods： From Jun, 2001 to Jun, 2007, 5 of 24 patients with unstable type pelvic fracture and posterior urethra rupture in our hospital underwent primary combined operation and followed for 3-12 months. Results： After the operations, one case had retropubic infection, nobody died, and nobody needed the second urethra operation. 3 of 5 patients were satisfied with the outcomes, 2 patients with slight dysuria urinate smoothly through urethral sounding. Conclusions：Primary reposition and effective immobilization of pelvic fracture is the anatomy basic to complete urethra repair. And it is feasibility that the primary combined operation treats the patients with unstable type pelvic fracture and posterior urethra rupture.

关 键 词：骨盆骨折 后尿道断裂 一期联合手术 

分 类 号：R699.6[医药卫生—泌尿科学]