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目的对后尿道损伤处理的两种方法(早期尿道会师与延迟尿道成型)进行比较,探讨两种方法的疗效。方法将67例骨盆骨折致后尿道损伤的男性患者分为两组,一组37例采用早期尿道会师术,二组30例采用延迟尿道成形术,然后对两组的疗效及并发症进行比较观察。结果两种不同方法总有效率经 X~2检验 P>0.05,无显著性差异;但延迟尿道成形术并发症少。结论对于后尿道损伤的患者,只要根据具体的伤情,采取早期吻合与延迟尿道成型两种方法均能取得良好的临床疗效。
Objective To compare the two methods of post-urethral injury (early urethral debridement and delayed urethra formation) to explore the efficacy of the two methods. Methods Sixty-seven male patients with posterior urethral injury caused by pelvic fracture were divided into two groups. One group of 37 patients were treated by early urethral mastectomy, the other 30 patients were treated by delayed urethroplasty. The curative effect and complication of the two groups were compared . Results The total effective rate of two different methods by X ~ 2 test P> 0.05, no significant difference; but delayed urethroplasty complications less. Conclusion For patients with posterior urethral injury, as long as the specific injury, to take early anastomosis and delayed urethral two methods can achieve good clinical efficacy.