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韩国一名年轻男性患者在严重骨盆骨折后仅通过耻骨上膀胱造瘘术治疗完全性尿道损伤的自发再通:病例报告

Spontaneous recanalization of complete urethral injury treated by suprapubic cystostomy alone after severe pelvic bone fracture in a young male patient in Korea: a case report.

作者信息

Shin Han Kyul, Moon Gi Ho, Jeong Sung Yub, Lee Ho Jun

机构信息

Department of Trauma Surgery, Armed Forces Trauma Center, Armed Forces Capital Hospital, Seongnam, Korea.

Department of Surgery, Armed Forces Capital Hospital, Seongnam, Korea.

出版信息

J Trauma Inj. 2023 Jun;36(2):161-164. doi: 10.20408/jti.2022.0056. Epub 2022 Dec 2.

Abstract

Injury to the genitourinary tract is rare, with an incidence of less than 1%. Younger men (mean age, approximately 30 years) are predominantly affected. We introduce an unusual case of a 25-year-old male patient with complete urethral injury combined with a severe open pelvic bone fracture. During the emergency surgery, the primary realignment of the posterior urethra could not be performed due to a large defect. With suprapubic cystostomy alone, follow-up voiding cystourethrography showed spontaneous recanalization of the transected urethra after four months. Suprapubic cystostomy is an efficient treatment option when primary realignment is not possible.

摘要

泌尿生殖道损伤较为罕见,发生率低于1%。主要影响的是较年轻男性(平均年龄约30岁)。我们介绍一例不同寻常的病例,一名25岁男性患者,患有完全性尿道损伤并伴有严重开放性骨盆骨折。在急诊手术期间,由于存在大的缺损,无法对后尿道进行一期复位。仅行耻骨上膀胱造瘘术,随访的排尿性膀胱尿道造影显示,四个月后横断的尿道自发再通。当无法进行一期复位时,耻骨上膀胱造瘘术是一种有效的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e33e/11309462/130af01f2498/jti-2022-0056f1.jpg

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