下尿路和外生殖器战创伤及其诊疗研究进展  

Research advances in diagnosis and treatment for war trauma to lower urinary tract and external genitalia

作　　者：杨国荣 吕凯凯 吴洋洋 宋涛[1] 袁清 Yang Guo-Rong;Lyu Kai-Kai;Wu Yang-Yang;Song Tao;Yuan Qing(Senior Department of Urology,the Third Medical Center of Chinese PLA General Hospital,Beijing 100039,China;Graduate School,Medical School of Chinese PLA,Beijing 100017,China)

机构地区：[1]解放军总医院第三医学中心泌尿外科医学部,北京100039 [2]解放军医学院研究生院,北京100017

出　　处：《解放军医学杂志》2024年第3期335-342,共8页Medical Journal of Chinese People's Liberation Army

基　　金：联勤保障部队军事理论科研重点项目(JJ2022A06-B014)。

摘　　要：近年来,随着现代战争模式、武器及防护装备的不断革新,战创伤的发生机制、模式发生了很大变化。防弹衣及简易爆炸装置的广泛使用使泌尿生殖系统战创伤发生率逐渐升高,且泌尿生殖系统战创伤的模式也发生了改变,即从内部结构(肾脏、输尿管、膀胱)转移到外部结构(阴囊、睾丸、阴茎、尿道),提示应将泌尿生殖系统战创伤的研究重点逐渐转移到下尿路及外生殖器创伤。本文就数次现代战争中泌尿生殖系统战创伤的发生率、治疗以及预后进行综述,主要阐述下尿路及外生殖器战创伤相关情况及其诊疗的相关进展。In recent years,with the continuous innovation of modern war mode,weapons and protective equipment,the mechanism and mode of war trauma have also produced great changes.The widespread use of bulletproof vest and improvised explosive devices has led to increasing incidence of genitourinary trauma.The pattern of genitourinary trauma has also transformed from internal structures(kidney,ureters,bladder)to external structures(scrotum,testes,penis,urethra),suggesting that the research focus of genitourinary system war trauma should be gradually transformed to trauma research of lower urinary tract and external genitalia.This article reviews the incidence,treatment and prognosis of genitourinary trauma in several modern wars,and mainly describes the relevant conditions of lower urinary tract and external genitalia trauma and the relevant progress in the treatment in recent years.

关 键 词：泌尿生殖系统损伤 下尿路 外生殖器 战创伤 诊疗 

分 类 号：R826.2[医药卫生—临床医学]