- 期刊
尿道外傷－24例臨床分析
Urethral Injuries: Analysis of 24 Cases
摘要
在過去八年間高雄醫學院泌尿科總共治療了24例尿道前部外傷的患者，而跨坐傷是引起尿道前部外傷的主因。24例患者中有7例馬上接受經會陰尿道端對端吻合術，17例接受放置尿道導尿管夾板法。我們比較二種手術所需的時間、供血量、住院天數及併發症，結果發現前者所須之手術時間較長，但是，在住院天數，供血量及併發症方面二組沒有太大之差異。比較二組併發症發現前者有71%發生尿道狹窄而後者為65%。由於二者手術方法發生術後尿道狹窄的比率過高，因此並不太適宜用於治療尿道外傷。受傷後立即作上恥骨膀胱造廔術及3個月後再施以尿道修補術是我們以後治療尿道外傷的主要方法。
關鍵字
無資料並列摘要
Cases analysis of 24operations for the anterior urethral injuries is presented. 7 patients were treated one-stage transperineal end-to-end anastomosis and 17 underwent an immediate urethral realignment over a fenestrated catheter. Hospital stays were generally short and the rate of complication was low as well as the number of blood transfusions needed in both groups. The operating time however was longer in patients in the anastomosis group. Postoperatively, urethral strictures occurred in 71% of the patients who underwent one-stge transperineal end-to-end anastomosis and in 65% of those treated by realignment over a fenestrated catheter. The high incidence of postoperative stricture formation caused both techniques indicated neither procedure as a valuable modality for the primary and early treatment of anterior urethral injuries. According to the authors the suprapublic cystostomy and delayed urethroplasty offer a better choice of therapy.