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我院自1975年至1984年间应用Bade-noch尿道牵引法治疗男性陈旧性尿道狭窄28例,均获得较满意疗效,报告如下。临床资料 28例均为男性,年令为20～48岁,44岁以下者25例,占92％。受伤原因:由交通事故致骨盆骨折伴后尿道损伤者22例,其它由骑跨伤致球部尿道损伤者6例。 22例骨盆骨折后尿道损伤者,伤后病情较重、有休克、会阴部疼痛和血肿、尿外渗,其中15例是以尿道狭窄来院就医,一例伴有严重的膀胧周围感染。在伤后已行膀胱造瘘及尿道会师术,但术后拔除尿道支持管后排尿渐困难。8例行膀胱造瘘
Our hospital from 1975 to 1984 application of Bade-noch urethral traction in the treatment of male old urethral stricture in 28 cases, were more satisfied with the efficacy, the report is as follows. Clinical data of 28 cases were male, the annual order of 20 to 48 years old, 25 cases under the age of 44, accounting for 92%. Cause of injury: caused by traffic accidents with pelvis fracture of the urethra after injury in 22 cases, other injuries caused by the ball across the injured urethra in 6 cases. Twenty-two patients with urethral injury after pelvic fracture had severe injury after injury. There were shock, perineal pain and hematoma and urine extravasation. Among them, 15 were admitted to hospital for urethral stricture, and one was accompanied by severe infection of bladder. Bladder fistula and urethra have been performed after the injury, but the difficulty of urination after the removal of the urethral support tube is difficult. 8 routine bladder fistula