摘要
目的：总结儿童尿道损伤的诊断、治疗经过，探讨尿道损伤的有效治疗方法。方法回顾性分析该院近十年收治的73例尿道损伤患儿。结果男性患儿66例，女性患儿7例，年龄1～15岁（平均7岁）。男性患儿中，阴茎体部尿道损伤8例，球部损伤10例，后尿道损伤44例，膀胱颈损伤4例；女性患儿中，尿道损伤6例，膀胱颈损伤1例。Ⅰ期会师术一次治愈率78．6％，Ⅰ期吻合术一次治愈率80％，Ⅱ期尿道修复术一次治愈率69．6％。结论不同手术方式各有利弊，需对患儿全身情况及损伤类型综合评估以制定相应治疗方案。
Objective To summarize the diagnosis and treatment of urethral injury in children ,and to discuss the effective treat-ment method .Methods The retrospective analysis was performed on the data of 73 cases of children urethral injury in this hospital during recent 10 years .Results 66 cases were male ,7 cases were female ,aged 1-15 years old（average 7 years old） .In the male ca-ses ,there were 8 cases of anterior urethral injury ,10 cases of bulbous urethral injury ,44 cases of posterior urethral injuries and 4 cases of bladder neck injury ;in the female cases ,there were 6 cases of urethral injury and 1 case of bladder neck injury .The once cure rate of urethral realignment was 78 .6% ,which of stageⅠ urethral anastomosis was 80% and which of stage Ⅱurethral repair was 69 .6% .Conclusion Different operation modes have their advantages and disadvantages .The corresponding treatment scheme should be formulated according to the comprehensive assessment of the patient′s general condition and damage types .
出处
《重庆医学》
CAS
CSCD
北大核心
2014年第26期3422-3423,共2页
Chongqing medicine
基金
2013年重庆高校创新团队建设计划资助项目
关键词
儿童
尿道
创伤和损伤
诊断
鉴别
治疗结果
child
urethra
wounds and injuries
diagnosis,differential
treatment outcome
