Aubert J, Court B
J Urol Nephrol (Paris). 1975 Oct-Nov;81(10-11):805-14.
On the occasion of four cases, the authors studied the problems posed by traumatic rupture of the urethra in boys. They draw a very clear distinction between fresh rupture where the urethral lesions are only one of the elements of multiple trauma. The clinical picture and the I.V.P. form the basis for the diagnosis, and the indwelling catheter when it can be placed in position remains a valid mode of treatment. At the stage where complications have arisen, a clinical as well as a radiological check-up is indispensable before taking any decision. If action must be taken, suture-resection seems to be the best solution.
在四例病例中,作者研究了男孩尿道创伤性破裂所带来的问题。他们对新鲜破裂(此时尿道损伤仅是多发创伤的要素之一)进行了明确区分。临床表现和静脉肾盂造影构成诊断的基础,而能置入的留置导尿管仍是一种有效的治疗方式。在出现并发症的阶段,在做出任何决定之前,临床及放射学检查必不可少。若必须采取行动,缝合切除术似乎是最佳解决方案。