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印度郊区尿道损伤的处理——普通外科医生的视角

Managing urethral injuries in suburban India-general surgeon's perspective.

作者信息

Singh Lalit, Sharma P K

机构信息

Consultant General Surgeon, 628, Sector 5, Gurgaon - 122001.

Senior Resident Doctor, Department of Urology, IPGMER, Kolkata.

出版信息

Med J Armed Forces India. 2012 Apr;68(2):159-64. doi: 10.1016/S0377-1237(12)60035-5. Epub 2012 Apr 21.

DOI:10.1016/S0377-1237(12)60035-5
PMID:24669059
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3862923/
Abstract

Although, urethral injuries are relatively uncommon, their incidence has been increasing due to increasing incidence of road traffic accidents. Initial management of urethral injury depends upon the degree and location of the injury, patients' haemodynamic status, and any associated injuries. Besides these factors, availability of clinical infrastructure and clinical expertise also play a significant role in making appropriate management decisions at the time of injury.

摘要

虽然尿道损伤相对不常见,但由于道路交通事故发生率的上升,其发生率一直在增加。尿道损伤的初始处理取决于损伤的程度和部位、患者的血流动力学状态以及任何相关损伤。除了这些因素外,临床基础设施的可用性和临床专业知识在损伤时做出适当的处理决策方面也起着重要作用。

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本文引用的文献

1
Primary urethral realignment should be the preferred option for the initial management of posterior urethral injuries.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。
Indian J Urol. 2010 Apr;26(2):310-3. doi: 10.4103/0970-1591.65416.
2
Delayed repair is the ideal management for posterior urethral injuries- FOR the motion.延迟修复是后尿道损伤的理想治疗方法——支持该动议。
Indian J Urol. 2010 Apr;26(2):305-9. doi: 10.4103/0970-1591.65414.
3
EAU Guidelines on Urethral Trauma.EAU 指南:尿道创伤
Eur Urol. 2010 May;57(5):791-803. doi: 10.1016/j.eururo.2010.01.013. Epub 2010 Jan 20.
4
Blind urethral catheterization in trauma patients suffering from lower urinary tract injuries.对下尿路损伤的创伤患者进行盲法尿道插管。
J Trauma. 2007 Feb;62(2):330-5; discussion 334-5. doi: 10.1097/01.ta.0000221768.68614.36.
5
Diagnosis and classification of urethral injuries.尿道损伤的诊断与分类
Urol Clin North Am. 2006 Feb;33(1):73-85, vi-vii. doi: 10.1016/j.ucl.2005.11.004.
6
Long-term outcome of posterior urethral rupture in boys: a comparison of different surgical modalities.男孩后尿道破裂的长期预后:不同手术方式的比较
Urology. 2005 Jun;65(6):1202-7. doi: 10.1016/j.urology.2005.01.039.
7
The treatment of posterior urethral disruption associated with pelvic fractures: comparative experience of early realignment versus delayed urethroplasty.骨盆骨折伴后尿道断裂的治疗:早期复位与延迟尿道成形术的对比经验
J Urol. 2005 Mar;173(3):873-6. doi: 10.1097/01.ju.0000152145.33215.36.
8
The nature of urethral injury in cases of pelvic fracture urethral trauma.骨盆骨折所致尿道创伤病例中尿道损伤的性质。
J Urol. 2001 May;165(5):1492-5.
9
Long-term followup and evaluation of primary realignment of posterior urethral disruptions.后尿道断裂一期复位的长期随访与评估
J Urol. 1997 Mar;157(3):814-6.
10
Blunt urethral trauma: a unified, anatomical mechanical classification.钝性尿道创伤:一种统一的解剖学机械分类
J Urol. 1997 Jan;157(1):85-9. doi: 10.1016/s0022-5347(01)65291-1.