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弹道经尿道前列腺切除术——一例后尿道枪伤病例报告

Ballistic trans-urethral resection of the prostate - A case report of gunshot injury to the posterior urethra.

作者信息

Farrugia D, Durisic S, German K

机构信息

Urology Unit, Mater Dei Hospital, Triq Dun Karm, Msida, MSD2090, Malta.

Faculty of Medicine and Surgery, University of Malta, Malta.

出版信息

Urol Case Rep. 2020 Jun 23;33:101316. doi: 10.1016/j.eucr.2020.101316. eCollection 2020 Nov.

DOI:10.1016/j.eucr.2020.101316
PMID:33102018
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7573829/
Abstract

We report a case of penetrating gunshot injury to the posterior urethra sustained by a low-velocity projectile during a civilian drive-by shooting. The bullet passed through the prostatic urethra, missing other vital organs and both the internal and external urethral sphincters. Following a period of urethral catheterisation, the patient made a complete recovery with good continence and sexual function.

摘要

我们报告一例在平民驾车枪击事件中因低速射弹导致后尿道穿透性枪伤的病例。子弹穿过前列腺尿道，未伤及其他重要器官以及尿道内、外括约肌。经过一段时间的尿道插管后，患者完全康复，控尿及性功能良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fae0/7573829/23a3ca053269/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fae0/7573829/c6402aec4667/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fae0/7573829/71d5c24dbc21/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fae0/7573829/23a3ca053269/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fae0/7573829/c6402aec4667/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fae0/7573829/71d5c24dbc21/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fae0/7573829/23a3ca053269/gr3.jpg

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本文引用的文献

1
Gunshot wounds to the lower urinary tract: a single-institution experience.下尿路枪伤：单机构经验。
J Trauma Acute Care Surg. 2013 Mar;74(3):725-30; discussion 730-1. doi: 10.1097/TA.0b013e31827e1658.
2
Effect of early realignment on length and delayed repair of postpelvic fracture urethral injury.早期复位对骨盆骨折后尿道损伤的长度和延迟修复的影响。
Urology. 2012 Apr;79(4):912-5. doi: 10.1016/j.urology.2011.11.054. Epub 2012 Feb 18.
3
Lower urinary tract injuries following blunt trauma: a review of contemporary management.
钝性创伤后下尿路损伤：当代治疗方法综述
Rev Urol. 2011;13(3):119-30.
4
Gunshot wound injuries of the prostate and posterior urethra: reconstructive armamentarium.前列腺及后尿道枪伤：重建器械
J Urol. 2007 Oct;178(4 Pt 1):1346-8. doi: 10.1016/j.juro.2007.05.141. Epub 2007 Aug 16.
5
Management of posttraumatic posterior urethral disruption.创伤后后尿道断裂的处理
J Med Liban. 1997 Dec;45(4):201-5.