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1970～1980年期间的资料指出,骨盆骨折的患者共有1015例,其中40％是女性。但是,女性生殖泌尿道损伤的病例仅30例。本文介绍的系5例女性泌尿道损伤后遗症的处理。患者的年龄为12～57岁。5例均有尿失禁;2例有月经不调,3例有痛经,性交痛的有2例,尿道流血1例。膀胱镜检查尿道狭窄有3例,括约肌不能随意收缩1例,膀胱尿道疝1例,膀胱憩室并尿瘘1例,膀胱外翻并上尿道裂1例。阴道检查子宫脱垂1例,骨片凸入阴道口2例(即性交痛的病例)。在尿道处理上4例作尿道重建术,并且三角区用改良的Leadbetter氏等手术方法。即采用蛙形体位,从耻骨分离处进路,术中去除骨碎片和膀胱颈及尿道前的骨痂。将尿道周围的组织缝到Coope氏韧
According to the data from 1970 to 1980, there were 1015 patients with pelvic fractures, 40% of whom were women. However, only 30 cases of female genitourinary tract injuries. This article describes the treatment of sequelae of 5 female urinary tract injuries. The patient’s age is 12 to 57 years old. 5 cases had urinary incontinence; 2 cases had irregular menstruation, 3 cases dysmenorrhea, 2 cases of painful intercourse and 1 case of urethral bleeding. Cystoscopy urethral stricture in 3 cases, sphincter can not be arbitrarily contracted in 1 case, 1 case of bladder and urethra hernia, bladder diverticulum and urinary fistula in 1 case, bladder eversion and upper urinary tract in 1 case. Vaginal examination of uterine prolapse in 1 case, convex bone into the vaginal opening in 2 cases (ie, cases of painful sexual intercourse). In the urethra on the 4 cases of urethroplasty, and Triangulation with modified Leadbetter and other surgical methods. The use of frog-shaped position, from the separation of the pubic approach, intraoperative removal of bone fragments and bladder neck and urethra callus. Sew the tissues around the urethra to the Coopers