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钝性腹部创伤中腹膜内膀胱破裂的双层腹腔镜修复:一例病例报告并文献复习

Two-layer laparoscopic repair of intraperitoneal bladder rupture in blunt abdominal trauma: a case report with literature review.

作者信息

Kapoor Rahul

机构信息

Department of Urology, Apollo BSR Hospital, Bhilai, Chattisgarh, India.

出版信息

Surg Laparosc Endosc Percutan Tech. 2012 Aug;22(4):e204-5. doi: 10.1097/SLE.0b013e31824ea67e.

DOI:10.1097/SLE.0b013e31824ea67e
PMID:22874700
Abstract

Bladder injuries are usually reported after blunt trauma to lower abdomen. The pelvic fracture is associated in >80% of the cases. All intraperitoneal bladder tear are managed surgically with open exploration and repair. In stable patients, with no other intra-abdominal injury, laparoscopy acts both as a diagnostic and therapeutic tool. It results in faster recovery, early discharge from the hospital with good cosmetic outcome. We describe a similar case of intraperitoneal bladder rupture managed laparoscopically replicating the open technique of double-layer repair.

摘要

膀胱损伤通常在腹部下侧受到钝性创伤后被报道。超过80%的病例与骨盆骨折有关。所有腹膜内膀胱撕裂均通过开放探查和修复进行手术治疗。对于病情稳定且无其他腹腔内损伤的患者,腹腔镜检查可作为诊断和治疗工具。它能加快恢复速度,使患者早日出院,且美容效果良好。我们描述了一例通过腹腔镜治疗的腹膜内膀胱破裂病例,该病例采用了类似开放手术双层修复的技术。

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