对于后尿道损伤的初始处理，一期尿道会师术应是首选方案。
Primary urethral realignment should be the preferred option for the initial management of posterior urethral injuries.
作者信息
Shrinivas R P, Dubey Deepak
机构信息
Department of Urology, Manipal Institute of Nephrology and Urology, Manipal Hospital, Airport Road, Bangalore - 560 017, India.
出版信息
Indian J Urol. 2010 Apr;26(2):310-3. doi: 10.4103/0970-1591.65416.
Abstract
The initial management of posterior urethral injuries is controversial. Options of management include immediate surgical realignment, early realignment using minimally invasive techniques or simple suprapubic catheter (SPC) placement followed by delayed urethroplasty. The latter method has been preferred by most urologists but the last couple of decades have seen increasing reports of early urethral realignment which have provided better if not similar results as SPC placement. In this article a detailed analysis of studies involving primary realignment has been presented to reinforce the argument in favor of this approach.
摘要
后尿道损伤的初始处理存在争议。处理方法包括立即进行手术复位、采用微创技术进行早期复位或单纯耻骨上膀胱造瘘管（SPC）置入，随后进行延迟性尿道成形术。后一种方法为大多数泌尿外科医生所青睐，但在过去几十年里，早期尿道复位的报道越来越多，即便结果与耻骨上膀胱造瘘管置入术不完全相同，至少也不相上下。本文对涉及一期复位的研究进行了详细分析，以强化支持该方法的论据。
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