Viville C, Weltzer J, Bittar S, de Petriconi R
J Urol (Paris). 1984;90(3):181-5.
Fourteen of 400 cases of fractured pelvis had rupture of the urethra and, unfortunately, an exploratory catheter was introduced in nearly all these patients. Routine radiological investigations were not conducted, and true emergency surgical repair was performed in only 3 cases, all of these three patients obtaining good urethral permeability. Analysis of data on recently published cases and from the present series shows that opposing views are still held by those who support immediate, emergency (true or deferred) end-to-end suture of the urethra, and those who advocate simple suprapubic drainage of the bladder or "realignment" of the urethra over an indwelling catheter with or without a direct approach to the site of rupture. However, carefully executed immediate end-to-end suture gives better results than other methods, and also considerably reduces duration of hospital stay and incapacity for work.
400例骨盆骨折患者中有14例发生尿道断裂，不幸的是，几乎所有这些患者都进行了试探性导尿。未进行常规放射学检查，仅3例患者进行了真正的急诊手术修复，这3例患者术后尿道均保持良好的通畅性。对近期发表的病例数据及本系列病例数据的分析表明，对于尿道损伤的治疗，支持立即进行急诊（真正的或延期的）端端缝合的医生，与主张单纯耻骨上膀胱造瘘引流或通过留置导尿管对尿道进行“复位”（无论是否直接处理破裂部位）的医生仍持有不同观点。然而，精心实施的立即端端缝合比其他方法效果更好，还能显著缩短住院时间和减少工作能力丧失的时间。
