Corriere J N, Sandler C M
Department of Surgery, University of Texas, Houston, Texas Medical Center, USA.
World J Urol. 1999 Apr;17(2):84-9. doi: 10.1007/s003450050111.
Rupture of the bladder from external trauma is usually due to a blow to the abdomen when the bladder is distended or associated with a fractured pelvis. The diagnosis is made by performance of a retrograde cystogram and observation of contrast extravasation. An intravenous contrast study is not acceptable. All patients with an intraperitoneal bladder rupture should have formal repair. Extraperitoneal bladder ruptures may be treated with catheter drainage if the urine clears of blood promptly, the catheter drains well, and the bladder neck is not involved in the injury. Otherwise, formal repair is mandatory.
膀胱因外部创伤破裂通常是由于膀胱充盈时腹部受到撞击或与骨盆骨折相关。通过逆行膀胱造影及观察造影剂外渗来做出诊断。静脉造影检查不可接受。所有腹膜内膀胱破裂患者均应进行正规修复。如果尿液迅速清除血液、导尿管引流良好且膀胱颈未受损伤，腹膜外膀胱破裂可采用导尿管引流治疗。否则，必须进行正规修复。
