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[骨盆骨折时女性尿道破裂。附2例新病例]

[Rupture of the female urethra in fractures of the pelvic bones. Apropos of 2 new cases].

作者信息

Houdelette P, Vichard P, Dumotier J, Bittard H

机构信息

Service d'Urologie de l'Hôpital d'Instruction des Armées du Val-de-Grâce, Paris.

出版信息

Chirurgie. 1992;118(10):688-94.

PMID:1345705
Abstract

Female urethra ruptures associated with pelvic ring fractures are exceptionally observed. The authors compared these 2 cases (Besançon and Toulon) to already published cases. This diagnosis must be contemplated and established by the surgeon or in his/her presence using urethral catheterization. The surgical approach (most of time abdominoperineal) allows an accurate injury repair and prevents from fearsome complications due to late diagnosis and treatment. An active attitude following this urological act is highly required, in case of osteoarticular injuries, whose instability and rules are currently known.

摘要

与骨盆环骨折相关的女性尿道破裂极为罕见。作者将这2例病例(贝桑松和土伦)与已发表的病例进行了比较。这种诊断必须由外科医生考虑并通过尿道插管在其在场的情况下做出。手术入路(大多数情况下为腹会阴联合入路)可实现准确的损伤修复,并预防因诊断和治疗延迟而导致的可怕并发症。在发生骨关节损伤时,鉴于其目前已知的不稳定性和规律,在这一泌尿外科操作之后采取积极的态度是非常必要的。

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