Vidiscák M, Smrek M, Kirnák J, Sýkora L, Pevalová L
Klinika detskej chirurgie, DFNsP, Bratislava, Slovenská republika.
Rozhl Chir. 2000 Aug;79(8):364-6.
Authors presented their experience in diagnosis and treatment of 5 cases of traumatic rupture of urethra. Clinical symptoms of the closed type of the urethra are frequently not clear. In 70% of patients, outer urethral orifice bleeding is usually omitted. When this injury could be suspected, urethral catheterization is not recommended because it might extend level of damage. Urethrography is recommended as it would offer sufficient information on the injury. Pulling the balloon catheter to approach proximal and distal part of the injured urethra will result in creating fibrous channel between the ruptured parts of urethra however, this fibrotic part tends to develop dilatation resistant stricture.
作者介绍了他们对5例创伤性尿道破裂的诊断和治疗经验。闭合性尿道损伤的临床症状往往不明显。70%的患者通常没有尿道口出血。当怀疑有这种损伤时，不建议进行尿道插管，因为这可能会扩大损伤程度。建议进行尿道造影，因为它能提供有关损伤的足够信息。牵拉气囊导管以接近受伤尿道的近端和远端会在尿道破裂部位之间形成纤维通道，然而，这个纤维化部位容易发展为抗扩张性狭窄。
