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目的：为探讨较好的后尿道断裂急诊手术处理方法。方法：对４０例后尿道断裂患者分别采用：①单纯膀胱造瘘、Ⅱ期尿道修补，②改进的尿道会师牵引法处理，并对治疗效果进行回顾性总结。结果：单纯膀胱造瘘、Ⅱ期尿道修补５例，术后尿道狭窄３例（６０％），并有１例需再次手术，阳萎２例（４０％）。采用改进的会师及牵引方法处理３５例，３２例术后排尿正常，尿道狭窄３例（８．６％）；随访２６例，阳萎４例（１５．４％）。后者术后并发症明显低于前者，疗效也优于未改进的会师加牵引的一些报道。结论：由于会师器械及牵引装置的改进使手术操作方便快捷、疗效佳、并发症减少，改进尿道会师加牵引术通常可作为后尿道断裂急诊手术的首选方法。
Objective: To explore a better method of emergency surgical treatment of posterior urethral rupture. Methods: 40 cases of posterior urethral rupture were used: ① pure cystostomy, urethral repair Ⅱ, ② improved urethra traction division treatment, and the treatment of retrospective review. Results: In the simple cystostomy, 5 cases were repaired in stage Ⅱ urethra and 3 cases (60%) in postoperative urethral stricture. One case needed reoperation and 2 cases (40%) had impotence. 35 cases were treated by improved conciliation and traction, 32 cases had normal urination and 3 cases had urethral stricture (8.6%). Follow-up was performed in 26 cases and impotence was found in 4 cases (15.4%). The latter postoperative complications were significantly lower than the former, the curative effect is better than the unadulterated conference plus traction some reports. Conclusion: Due to the improvement of the instrumentation and traction device, the surgical operation is quick and convenient, the curative effect is good and the complication is reduced. The improvement of urethral instrumentation and traction is usually the first choice for emergency treatment of posterior urethral rupture.