青年男性严重骨盆骨折后耻骨上膀胱造瘘术治疗完全性尿道损伤的自发再通1例

Journal of Trauma and Injury Pub Date : 2023-06-01 Epub Date: 2022-12-02 DOI:10.20408/jti.2022.0056
Han Kyul Shin, Gi Ho Moon, Sung Yub Jeong, Ho Jun Lee
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引用次数: 0

摘要

泌尿生殖道损伤是罕见的,发生率低于1%。年轻男性(平均年龄约30岁)主要受到影响。我们介绍一个不寻常的案例,一个25岁男性患者完全尿道损伤合并严重开放性骨盆骨折。在紧急手术中,由于一个大的缺陷,后尿道的初次重新排列无法进行。单独进行耻骨上膀胱造瘘术后,随访排尿膀胱尿道造影显示,四个月后横切尿道自发再通。肩胛上膀胱造瘘术是一种有效的治疗选择时,主要调整是不可能的。
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Spontaneous recanalization of complete urethral injury treated by suprapubic cystostomy alone after severe pelvic bone fracture in a young male patient in Korea: a case report.

Injury to the genitourinary tract is rare, with an incidence of less than 1%. Younger men (mean age, approximately 30 years) are predominantly affected. We introduce an unusual case of a 25-year-old male patient with complete urethral injury combined with a severe open pelvic bone fracture. During the emergency surgery, the primary realignment of the posterior urethra could not be performed due to a large defect. With suprapubic cystostomy alone, follow-up voiding cystourethrography showed spontaneous recanalization of the transected urethra after four months. Suprapubic cystostomy is an efficient treatment option when primary realignment is not possible.

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审稿时长
11 weeks
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