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《THE CINESE MEDICAL JOURNAL OF METALLURGICAL INDUSTRY》 1994-01
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ENDOSCOPIC RECONSTRUCTION FOR SERIOUS TRAUMATIC OCCLUSION OF POSTERIOR URETHRA

Wu Yongan; Huang Changhai; Hou Xu; Deng Xin; Huang Jinhai; Li Shulun(Dalian Institute of Urolosry, General Hospital,Benxi Iron and Steel Company)  
When traumatic posterior urethral transection occurs with serious pelvic fracture,the patient is usually under severe hemorrhagic shock and multiple injuries.It Is of prime importance to treat the serious associated injuries promptly.As for the urethral disruption,a simple suprapubic cystostomy at the moment is preferred.Occlusion of the posterior urethra would eventually appear and can be managed endoscopically 3~6 months later.Twenty seven such cases were thus managed from 1984 to March 1994 with an improved endoscopic technique with a success rate of 96.3%(26/27).The age of the male patients ranged from 3 to 65 with a mean of 31.6 years of age.The advanages of this technique and the merits and demerits of various primary urethral reconstion procedures are discussed.
【CateGory Index】: R691.6
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