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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.

DOI:10.20408/jti.2022.0056
PMID:39380698
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11309462/
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/11309462/1f968ec04314/jti-2022-0056f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e33e/11309462/130af01f2498/jti-2022-0056f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e33e/11309462/5e7ac9ec723e/jti-2022-0056f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e33e/11309462/1f968ec04314/jti-2022-0056f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e33e/11309462/130af01f2498/jti-2022-0056f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e33e/11309462/5e7ac9ec723e/jti-2022-0056f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e33e/11309462/1f968ec04314/jti-2022-0056f3.jpg

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本文引用的文献

1
Urotrauma Guideline 2020: AUA Guideline.尿创伤指南 2020:AUA 指南。
J Urol. 2021 Jan;205(1):30-35. doi: 10.1097/JU.0000000000001408. Epub 2020 Oct 14.
2
Outcomes Following Primary Realignment Versus Suprapubic Cystostomy with Delayed Urethroplasty for Pelvic Fracture-Associated Posterior Urethral Injury: A Systematic Review with Meta-Analysis.骨盆骨折相关后尿道损伤一期复位与耻骨上膀胱造瘘延期尿道成形术的治疗效果:一项系统评价与Meta分析
Curr Urol. 2019 Nov;13(3):113-124. doi: 10.1159/000499282. Epub 2019 Nov 13.
3
Male Urethral Stricture: American Urological Association Guideline.
男性尿道狭窄:美国泌尿外科学会指南。
J Urol. 2017 Jan;197(1):182-190. doi: 10.1016/j.juro.2016.07.087. Epub 2016 Aug 3.
4
Primary realignment vs suprapubic cystostomy for the management of pelvic fracture-associated urethral injuries: a systematic review and meta-analysis.一期尿道会师术与耻骨上膀胱造瘘术治疗骨盆骨折合并尿道损伤的比较:系统评价和荟萃分析。
Urology. 2014 Apr;83(4):924-9. doi: 10.1016/j.urology.2013.12.031.
5
Early endoscopic primary realignment decreases stricture formation and reduces medical costs in traumatic complete posterior urethral disruption in a 2-year follow-up.在一项为期两年的随访中,早期内镜下一期尿道会师术可减少创伤性完全性后尿道断裂患者的狭窄形成,并降低医疗费用。
Chang Gung Med J. 2011 Mar-Apr;34(2):179-85.
6
Genitourinary injuries in pelvic fracture morbidity and mortality using the National Trauma Data Bank.利用国家创伤数据库分析骨盆骨折中泌尿生殖系统损伤的发病率和死亡率
J Trauma. 2009 Nov;67(5):1033-9. doi: 10.1097/TA.0b013e3181bb8d6c.
7
Management of posterior urethral disruption injuries.后尿道断裂伤的处理
Nat Clin Pract Urol. 2009 Mar;6(3):154-63. doi: 10.1038/ncpuro1319.
8
The treatment of posterior urethral disruption associated with pelvic fractures: comparative experience of early realignment versus delayed urethroplasty.骨盆骨折伴后尿道断裂的治疗:早期复位与延迟尿道成形术的对比经验
J Urol. 2005 Mar;173(3):873-6. doi: 10.1097/01.ju.0000152145.33215.36.
9
A pull-through operation for impassable traumatic stricture of the urethra.
Br J Urol. 1950 Dec;22(4):404-9. doi: 10.1111/j.1464-410x.1950.tb02547.x.
10
Perineal repair of pelvic fracture urethral distraction defects: experience in 120 patients during the last 10 years.骨盆骨折尿道牵张缺损的会阴修复:过去10年120例患者的经验
J Urol. 2003 Nov;170(5):1877-80. doi: 10.1097/01.ju.0000091642.41368.f5.