泌尿系统损伤的诊治医学课件.ppt

球部尿道损伤的临床表现 下腹痛Lower abdominal pain 不能排尿Inability to urinate 血尿Hematuria 耻骨上肿块Suprapublic mass 尿外渗Urinary extravasation 球部损伤尿外渗范围 球部尿道损伤的诊断 试导尿，不超过1次Catheterization should not be attempted (only 1 time) 尿道造影Urethrography: extravasation X光检查X-ray: fractured pelvis 治疗Treatment 急诊处理Emergency Treatment 导尿成功者停留尿管1周Catherization 1 wk---no special treatment 失败者，尿道修补Catherization failure---urethral repair---keep catheter 2-3wks 膀胱造瘘3-6月后二期修复 Suprapubic cystostomy 3-6ms—urethra repair 尿道扩张Urethral dilation 内镜Endourology Surgical Reconstruction D, approximation of the bulbarto the distal prostat