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处理骨盆骨折合并的后尿道损伤,目前仍有争议。一般认为,后尿道损伤的处理原则是:恢复尿道的连续性,引流血肿和尿外渗,膀胱内尿液引流良好等。实现这些原则,问题很多:1、如何早期处理病人可能存在的多处致命伤。2、即使致命伤被控制,允许探查损伤的尿道,但因局部出血、骨折、组织裂损以及术中无法接近尿道的损伤处,致使损伤的尿道难以得到解剖定位。另外手术还可能使不完全性的尿道损
It is still controversial to deal with posterior urethral injuries associated with pelvic fractures. Is generally believed that the treatment of posterior urethral injury are: the continuity of the urethra to restore, drainage of hematoma and urine extravasation, urinary bladder drainage and good. To achieve these principles, many problems: 1, how to deal with early treatment of patients may be multiple fatal injuries. 2, even if the fatal injury is controlled, allowing the exploration of the damaged urethra, but due to local bleeding, fractures, tissue damage and intraoperative inaccessible damage to the urethra, resulting in damage to the urethra anatomical positioning difficult. In addition the surgery may make incomplete urethral damage