Glass R E, Flynn J T, King J B, Blandy J P
Br J Urol. 1978 Dec;50(7):578-82. doi: 10.1111/j.1464-410x.1978.tb06216.x.
In 333 consecutive cases of fractures of the pelvis admitted as emergencies to one hospital 53% were in males, of whom 34 had suspicious clinical signs of urethral or vesical injury. In 15 patients catheterisation was performed uneventfully and in no case did this make the injury worse; in 8 an attempt at primary realignment was performed, resulting in 4 cases without any stricture, and 2 who needed annual dilation only. In 4 additional cases associated laceration of the bladder was repaired of which one had no stricture and 2 needed infrequent dilatations. In a further 41 cases a catheter was used and led to no strictures. Among 67 males with post-traumatic urethral injuries caused by pelvic fracture the best results were seen when the 2 ends were approximated. In 4 cases a stricture was prevented entirely, and in 17 others it led to an easy urethroplasty. Difficult strictures occurred in severe injuries with uncorrected displacement of the soft parts. Where feasible, early surgical repair appears to give the best chance of minimising the severity of subsequent urethral stricture.
在一家医院急诊收治的333例骨盆骨折连续病例中，53%为男性，其中34例有尿道或膀胱损伤的可疑临床体征。15例患者导尿顺利，且无一例因导尿使损伤加重；8例尝试进行一期复位，结果4例无任何狭窄，2例仅需每年进行扩张。另外4例合并膀胱撕裂伤的患者进行了修复，其中1例无狭窄，2例需偶尔扩张。另有41例使用了导尿管，未导致狭窄。在67例因骨盆骨折导致创伤后尿道损伤的男性患者中，两端接近时效果最佳。4例完全预防了狭窄，另外17例则使尿道成形术变得容易。严重损伤且软组织移位未纠正时会出现难治性狭窄。在可行的情况下，早期手术修复似乎最有可能将后续尿道狭窄的严重程度降至最低。
