Delayed post-traumatic small bowel stricture is rare and differentiation from other more common causes of small intestinal stricture is difficult. Presentation may be delayed up to years after the injury. Very often t...Delayed post-traumatic small bowel stricture is rare and differentiation from other more common causes of small intestinal stricture is difficult. Presentation may be delayed up to years after the injury. Very often the findings mimic those of other causes of long segment strictures such as tuberculosis, Crohn’s disease, lymphoma etc. This study analyzes two cases of post-traumatic small bowel stricture, with different presentations and different therapeutic challenges. The literature on this condition is not well recognized and will be reviewed. Resection and reconstruction are diagnostic and therapeutic in patients who present with post-traumatic small bowel stricture, as inflammatory and neoplastic causes cannot be ruled out without histological diagnosis.展开更多
目的:研究尿道端端吻合术对外伤性尿道狭窄患者勃起功能的影响。方法:对41例采用尿道端端吻合术治疗的骨盆骨折导致尿道损伤(PFUDD)相关尿道狭窄患者手术前后两个阶段进行血管活性药物注射后阴茎血流彩色多普勒超声波(PPUD)检查和国际...目的:研究尿道端端吻合术对外伤性尿道狭窄患者勃起功能的影响。方法:对41例采用尿道端端吻合术治疗的骨盆骨折导致尿道损伤(PFUDD)相关尿道狭窄患者手术前后两个阶段进行血管活性药物注射后阴茎血流彩色多普勒超声波(PPUD)检查和国际勃起功能指数-5(11EF-5)间卷调查,并对数据进行统计学分析。结果:所有41例患者手术前后的IIEF-5评分无显著差异,且勃起功能无明显变化者占大多数,约为56%。各年龄组、狭窄长度组及狭窄部位组患者手术前后的IIEF-5评分均无显著差异,但术后勃起功能提高组、不变组和降低组3组间的狭窄长度差异有统计学意义(2.16±1.49 vs 2.28±0.88 vs 3.50±1.53,P=0.0134),且差异主要存在于降低组与提高组或不变组之间(P=0.0129,0.0165)。轻度及中低度ED组患者术后IIEF-5评分出现明显下降(13.86±1.88 vs 11.43±3.37,P=0.0202),而中度及重度ED组患者则无明显变化。非血管性ED组患者手术前后的IIEF-5评分差异有统计学意义(14.88±1.81 vs 10.88±4.02,P=0.0103),动脉性和静脉性ED组患者手术前后评分则无明显差别。结论:尿道端端吻合术对PFIDD等外伤相关尿道狭窄患者的勃起功能没有显著影响,患者术后勃起功能的变化情况与狭窄长度、术前性功能状态等有关,而与患者年龄、狭窄部位等没有明确的关系。展开更多
文摘Delayed post-traumatic small bowel stricture is rare and differentiation from other more common causes of small intestinal stricture is difficult. Presentation may be delayed up to years after the injury. Very often the findings mimic those of other causes of long segment strictures such as tuberculosis, Crohn’s disease, lymphoma etc. This study analyzes two cases of post-traumatic small bowel stricture, with different presentations and different therapeutic challenges. The literature on this condition is not well recognized and will be reviewed. Resection and reconstruction are diagnostic and therapeutic in patients who present with post-traumatic small bowel stricture, as inflammatory and neoplastic causes cannot be ruled out without histological diagnosis.
文摘目的:研究尿道端端吻合术对外伤性尿道狭窄患者勃起功能的影响。方法:对41例采用尿道端端吻合术治疗的骨盆骨折导致尿道损伤(PFUDD)相关尿道狭窄患者手术前后两个阶段进行血管活性药物注射后阴茎血流彩色多普勒超声波(PPUD)检查和国际勃起功能指数-5(11EF-5)间卷调查,并对数据进行统计学分析。结果:所有41例患者手术前后的IIEF-5评分无显著差异,且勃起功能无明显变化者占大多数,约为56%。各年龄组、狭窄长度组及狭窄部位组患者手术前后的IIEF-5评分均无显著差异,但术后勃起功能提高组、不变组和降低组3组间的狭窄长度差异有统计学意义(2.16±1.49 vs 2.28±0.88 vs 3.50±1.53,P=0.0134),且差异主要存在于降低组与提高组或不变组之间(P=0.0129,0.0165)。轻度及中低度ED组患者术后IIEF-5评分出现明显下降(13.86±1.88 vs 11.43±3.37,P=0.0202),而中度及重度ED组患者则无明显变化。非血管性ED组患者手术前后的IIEF-5评分差异有统计学意义(14.88±1.81 vs 10.88±4.02,P=0.0103),动脉性和静脉性ED组患者手术前后评分则无明显差别。结论:尿道端端吻合术对PFIDD等外伤相关尿道狭窄患者的勃起功能没有显著影响,患者术后勃起功能的变化情况与狭窄长度、术前性功能状态等有关,而与患者年龄、狭窄部位等没有明确的关系。
