中国医药
中國醫藥
중국의약
CHINA MEDICINE
2008年
4期
236-237
,共2页
刘连地%黄建忠%庄东阳%黄唯庶
劉連地%黃建忠%莊東暘%黃唯庶
류련지%황건충%장동양%황유서
创伤性膀胱破裂%膀胱造影%膀胱修补术
創傷性膀胱破裂%膀胱造影%膀胱脩補術
창상성방광파렬%방광조영%방광수보술
Traumatic bladder rupture%Cystography%Repair of ruptured bladder
目的 探讨创伤性膀胱破裂的早期诊断及治疗方法,以提高临床治愈率.方法 回顾性分析14例创伤性膀胱破裂患者的临床资料,对其诊断、治疗方法进行研究.结果 本组13例患者行手术治疗,包括膀胱修补术、膀胱造瘘术;1例行保守治疗,留置导尿管引流,14例患者治疗后排尿均正常,无明显并发症发生.结论 逆行膀胱造影是诊断膀胱破裂最可靠的检查方法,对创伤性膀胱破裂应积极行膀胱修补术,保守治疗应掌握其适应证.早期诊断、及时手术是救治成功的关键.
目的 探討創傷性膀胱破裂的早期診斷及治療方法,以提高臨床治愈率.方法 迴顧性分析14例創傷性膀胱破裂患者的臨床資料,對其診斷、治療方法進行研究.結果 本組13例患者行手術治療,包括膀胱脩補術、膀胱造瘺術;1例行保守治療,留置導尿管引流,14例患者治療後排尿均正常,無明顯併髮癥髮生.結論 逆行膀胱造影是診斷膀胱破裂最可靠的檢查方法,對創傷性膀胱破裂應積極行膀胱脩補術,保守治療應掌握其適應證.早期診斷、及時手術是救治成功的關鍵.
목적 탐토창상성방광파렬적조기진단급치료방법,이제고림상치유솔.방법 회고성분석14례창상성방광파렬환자적림상자료,대기진단、치료방법진행연구.결과 본조13례환자행수술치료,포괄방광수보술、방광조루술;1례행보수치료,류치도뇨관인류,14례환자치료후배뇨균정상,무명현병발증발생.결론 역행방광조영시진단방광파렬최가고적검사방법,대창상성방광파렬응적겁행방광수보술,보수치료응장악기괄응증.조기진단、급시수술시구치성공적관건.
Objective To discuss early diagnosis and treatment of traumatic bladder rupture.MethodsFourteen cases of traumatic bladder rupture were retrospectively analyzed.Results Thirteen patients receivedsurgical repair of ruptured bladder.One patient had indwelling urinary catheter drainage therapy.All patients couldurinate normally after treatment without complication occurrence.Conclusion Retrograde cystography was the mostreliable diagnostic method.The patient who suffer from traumatic bladder rupture should be treated in early stage bysurgical repair of the ruptured bladder.The indication of nonoperative therapy needs to be properly considered.Theearly diagnosis and operation were the critical points of a successful treatment for traumatic bladder rupture.
