Mundy A R
Institute of Urology, Guy's Hospital, London, UK.
World J Urol. 1999 Apr;17(2):90-5. doi: 10.1007/s003450050112.
Posterior urethral injuries are not common and take a low priority in the management of patients with pelvic fracture injuries as these individuals almost always have multiple injuries of more serious consequence. Most patients are best treated by a suprapubic catheter for 3 months and then an end-to-end anastomotic urethroplasty in those who have developed urethral occlusions. There are roles for delayed primary repair and for endourological management in selected patients, but their exact roles have yet to be defined.
后尿道损伤并不常见,在骨盆骨折损伤患者的治疗中优先级较低,因为这些患者几乎总是伴有后果更严重的多处损伤。大多数患者最好通过耻骨上膀胱造瘘管治疗3个月,然后对出现尿道梗阻的患者进行端端吻合尿道成形术。对于部分患者,延迟一期修复和腔内治疗也有作用,但其确切作用尚未明确。