论文部分内容阅读
目的：观察外伤性膀胱破裂的临床特点，选择可靠的诊断方法。方法：１９例患者中１６例行膀胱灌注试验，１３例阳性、３例可疑；７例行膀胱造影均阳性（含３例可疑者）；３例经后尿道断裂行尿道会师牵引术中发现；２例行剖腹探查术时发现。均行膀胱修补，膀胱造瘘，耻骨后引流。结果：１９例患者均痊愈，其中３例合并耻骨后感染，经引流、抗感染治疗后痊愈。结论：膀胱灌注试验、膀胱造影是诊断膀胱破裂的可靠方法，而ＣＴ、膀胱镜在诊断中意义不大。
Objective: To observe the clinical features of traumatic bladder rupture and select a reliable diagnostic method. Methods: Twenty-six of 19 patients underwent bladder perfusion test, 13 were positive and 3 were suspicious; 7 were confirmed by cystography (including 3 suspicious persons); 3 were found by posterior urethral cleft urethra traction; 2 routine laparotomy found. All bladder repair, bladder fistula, pubis drainage. Results: All the 19 patients were cured. Three of them were retropubic infection and were cured by drainage and anti-infective therapy. Conclusion: Bladder perfusion test and cystography are reliable methods for diagnosis of bladder rupture. CT and cystoscopy are of little significance in the diagnosis.