创伤性尿道损伤的早期透视复位
Early fluoroscopic realignment for traumatic urethral injuries.
作者信息
Londergan T A, Gundersen L H, van Every M J
机构信息
Gundersen Clinic, La Crosse, Wisconsin 54601, USA.
出版信息
Urology. 1997 Jan;49(1):101-3. doi: 10.1016/S0090-4295(96)00429-3.
OBJECTIVES
There are a variety of open surgical and endoscopic approaches to the treatment of traumatic urethral injuries. The objective of our study was to evaluate the efficacy of early fluoroscopic realignment of the urethra following traumatic injury.
METHODS
Seven patients with urethral rupture injuries (two anterior and five posterior urethral injuries) were treated. Follow-up ranged from 1 to 35 months.
RESULTS
Six patients had successful early realignment of the urethra and catheter placement. Two of these required no further treatment, whereas 3 required another procedure or procedures following catheter removal. One patient is presently being treated. In 1 patient, realignment was unsuccessful and subsequent open urethroplasty was required.
CONCLUSIONS
Early fluoroscopic realignment appears to be a safe and effective method of treatment for severe traumatic urethral injuries.
目的
治疗创伤性尿道损伤有多种开放手术和内镜手术方法。本研究的目的是评估创伤后早期尿道荧光透视下复位的疗效。
方法
对7例尿道破裂伤患者（2例前尿道损伤和5例后尿道损伤）进行了治疗。随访时间为1至35个月。
结果
6例患者早期尿道复位和导尿管置入成功。其中2例无需进一步治疗，而3例在拔除导尿管后需要进行另一种或多种手术。1例患者目前正在接受治疗。1例患者复位失败，随后需要进行开放性尿道成形术。
结论
早期荧光透视下复位似乎是治疗严重创伤性尿道损伤的一种安全有效的方法。
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