Lim P H, Chng H C
Department of Surgery/Urology, Toa Payo Hospital, Singapore.
Br J Urol. 1989 Aug;64(2):165-8. doi: 10.1111/j.1464-410x.1989.tb05980.x.
A study was made of 30 cases of acute urethral trauma treated over a 7-year period. There were 10 anterior and 20 posterior urethral injuries, the majority of these being partial ruptures. Posterior urethral injuries were caused by road traffic accidents in 75% of cases while 80% of the anterior urethral injuries were of the "straddle" type. There was only 1 case of iatrogenic injury to the anterior urethra. During follow-up, all patients required periodic dilatations for stricture except for the single case of iatrogenic injury. An average of 5 dilatations controlled all of the strictures except for 2 that required urethroplasties.
对7年间收治的30例急性尿道损伤患者进行了一项研究。其中前尿道损伤10例，后尿道损伤20例，大多数为部分断裂。75%的后尿道损伤由道路交通事故所致，而80%的前尿道损伤为“骑跨”型。前尿道医源性损伤仅1例。随访期间，除医源性损伤的这例患者外，所有患者均因尿道狭窄需要定期进行扩张。除2例需要行尿道成形术外，平均5次扩张控制了所有狭窄。
