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可禁尿性膀胱造瘻─治療嚴重尿道斷裂的一種新方法─病例報告

Continent Cystostomy - An Alternative in the Treatment of Severe Urethral Rupture – A Case Report

摘要


外傷性長段後尿道斷裂的治療方法很多,正足以顯示出它的困難和複雜。本文報告一例運用寇克式囊袋中的腸套疊原理做成可禁尿性膀胱造瘻,成功地治療一個26歲男性在車禍後造成相當長段之後尿道狹窄的經驗,可作為治療困難處置之尿道狹窄的一種選擇方式。

並列摘要


A continent cystostomy based on the design of Kock pouph was perfomed to treat a patient of severe pelvic fracture and urethral rupture. A segment of terminal ileum about 22cm was used to connect uninary bladder and the cutaneous stoma. Intussusception of ileum and fixation of the nipple valve were done under the principle of Kock pouch formation. Good result was achieved 3 weeks after operation. Patient is continent and has to catheterize 3 or 4 times per day by himself. For patient with complicated pelvic fracture and long urethral stricture that may result in urinary incontinence if urethrotomy is performed, such continent cystostomy is a good alternative of treatment.

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