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腹膜外膀胱破裂的处理

Management of extraperitoneal bladder rupture.

作者信息

Corriere J N, Sandler C M

机构信息

Department of Surgery, University of Texas Medical School, Houston.

出版信息

Urol Clin North Am. 1989 May;16(2):275-7.

PMID:2711545
Abstract

Extraperitoneal bladder ruptures secondary to blunt trauma are caused by fractures of the bony pelvis 95 per cent of the time. A static cystogram is the only way to diagnose the lesion definitely. We have treated our 41 patients successfully with catheter drainage alone despite extensive urinary extravasation. Eighty-seven per cent of the ruptures will be healed in 10 days, and virtually all will be healed in 3 weeks.

摘要

钝性创伤继发的腹膜外膀胱破裂95%是由骨盆骨折引起的。静态膀胱造影是明确诊断该病变的唯一方法。尽管存在广泛的尿液外渗,我们仅通过导管引流就成功治疗了41例患者。87%的破裂在10天内愈合,几乎所有破裂在3周内愈合。

相似文献

1
Management of extraperitoneal bladder rupture.腹膜外膀胱破裂的处理
Urol Clin North Am. 1989 May;16(2):275-7.
2
Trauma of the bladder.膀胱创伤
Surg Gynecol Obstet. 1976 Oct;143(4):605-8.
3
Intraperitoneal rupture of the bladder.膀胱腹膜内破裂
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Bladder trauma in the multiple injured patient.多发伤患者的膀胱创伤
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Diagnostic studies in bladder rupture. Indications and techniques.膀胱破裂的诊断研究。适应症与技术。
Urol Clin North Am. 1989 May;16(2):267-73.
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Diagnosis and initial management of urological injuries associated with 200 consecutive pelvic fractures.200例连续性骨盆骨折相关泌尿系统损伤的诊断与初始处理
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The multiple injured patient with bladder trauma.合并膀胱创伤的多发伤患者。
J Trauma. 1984 Aug;24(8):731-4. doi: 10.1097/00005373-198408000-00007.
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Radiology of the bladder and urethra in blunt pelvic trauma.钝性骨盆创伤中膀胱和尿道的放射学表现
Radiol Clin North Am. 1981 Mar;19(1):195-211.
9
[Extraperitoneal bladder rupture coinciding with bone fragments: the case for surgical treatment].[腹膜外膀胱破裂合并骨碎片:手术治疗的病例]
Actas Urol Esp. 2009 Apr;33(4):433-5. doi: 10.1016/s0210-4806(09)74171-3.
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Rupture of the bladder.膀胱破裂
Urol Clin North Am. 1982 Jun;9(2):293-6.

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Bladder neck rupture following perineal bull horn injury: a surgical challenge.
会阴部牛角样损伤后膀胱颈破裂:一项手术挑战。
Clin Med Insights Case Rep. 2012;5:123-8. doi: 10.4137/CCRep.S10234. Epub 2012 Sep 24.
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Extraperitoneal urinary bladder perforation detected by FDG PET/CT.通过氟代脱氧葡萄糖正电子发射断层显像/X线计算机体层成像(FDG PET/CT)检测到的腹膜外膀胱穿孔
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Urologic trauma guidelines: a 21st century update.泌尿科创伤指南:21 世纪更新版。
Nat Rev Urol. 2010 Sep;7(9):510-9. doi: 10.1038/nrurol.2010.119.
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Core through internal urethrotomy in the management of post-traumatic isolated bladder neck and prostatic urethral strictures in adults. A report of 4 cases.经尿道内切开术治疗成人创伤后孤立性膀胱颈及前列腺尿道狭窄:4例报告
Int Urol Nephrol. 1999;31(5):703-8. doi: 10.1023/a:1007125008830.