Corriere J N, Sandler C M
Department of Surgery, University of Texas Medical School at Houston 77030.
J Urol. 1988 Jan;139(1):43-4. doi: 10.1016/s0022-5347(17)42284-1.
During the last 7 years we have managed more than 100 cases of bladder rupture, the majority owing to blunt trauma. Of these ruptures 62 were extraperitoneal, including 59 (95 per cent) with associated pelvic fractures. Twelve patients had an associated urethral injury and 5 had a concomitant intraperitoneal bladder rupture. Complex injuries with extravasation outside the confines of the perivesical space were noted in 42 per cent of the patients. Extravasation extended into the scrotum, thigh, anterior abdominal wall and penis, and through the obturator foramen. The 41 patients who were treated with catheter drainage alone did well.
在过去7年里，我们处理了100多例膀胱破裂病例，大多数是由钝性创伤引起的。在这些破裂病例中，62例为腹膜外破裂，其中59例（95%）伴有骨盆骨折。12例患者伴有尿道损伤，5例同时存在腹膜内膀胱破裂。42%的患者出现了膀胱周围间隙以外的复杂损伤并伴有外渗。外渗扩展至阴囊、大腿、前腹壁和阴茎，并通过闭孔。仅接受导管引流治疗的41例患者情况良好。
