Hosatte F, Faure G, Rambeaud J J, Davin J L, Dufour C, Revol M
Ann Urol (Paris). 1986;20(3):187-90.
Seventeen cases of anterior urethral injuries are presented. The authors define the management of these lesions: emergency IVP and suprapubic catheter drainage; after three to five days, retrograde and voiding urethrography and surgical repair: end to end anastomosis when the rupture is complete (8 cases with 7 good results, 1 fair result), in case of partial rupture, surgical repair should be preferred (2 cases with 2 good results); the other alternatives, urethral catheter (2 cases), or suprapubic catheter drainage with delayed treatment of stricture (3 cases), appeared to be less comfortable, contusions must be treated conservatively.
本文报告了17例前尿道损伤病例。作者阐述了这些损伤的处理方法：急诊静脉肾盂造影及耻骨上膀胱造瘘引流；3至5天后，逆行尿道造影及排尿性尿道造影，并进行手术修复：破裂完全时行端端吻合术（8例，7例效果良好，1例效果尚可），部分破裂时应首选手术修复（2例，效果均良好）；其他选择，如留置尿道导管（2例），或耻骨上膀胱造瘘引流并延迟治疗尿道狭窄（3例），似乎效果欠佳，挫伤则需保守治疗。
