骨盆骨折合并后尿道断裂62例治疗剖析理心.docVIP

骨盆骨折合并后尿道断裂62例治疗剖析理心 　　【摘要】 目的：探讨62例骨盆骨折并发后尿道断裂患者的治疗效果。方法：选取笔者所在医院2013年2月-2014年2月接受诊治的62例骨盆骨折合并后尿道断裂患者作为研究对象，按照随机数字法将其分为研究组和对照组，每组31例。对照组患者给予常规手术进行治疗，研究组患者在此基础上给予尿道会师术、牵引术进行治疗。观察比较两组患者的临床疗效。结果：经治疗后，研究组的治疗总有效率93.55%（29/31）明显高于对照组的74.19%（23/31），比较差异有统计学意义（字2=4.2923，P=0.0383）。结论：对于骨盆骨折合并后尿道断裂的患者而言，及时、早期对其实施尿道会师牵引术有助于提升患者整体治疗有效率，且该手术方法安全性较高、操作便捷，可以在临床治疗中广泛推广应用。 　　【关键词】 骨盆骨折； 后尿道断裂； 治疗效果 　　中图分类号 R687.3 文献标识码 B 文章编号 1674-6805（2015）17-0133-02 　　Treatment Analysis of 62 Cases of Pelvic Fractures Complicated with Posterior Urethral Disruption/LI Xin-ping，LI Yang.//Chinese and Foreign Medical Research，2015，13（17）：133-134 　　【Abstract】 Objective：To investigate the treatment effect of 62 cases of pelvic fractures complicated with posterior urethral disruption.Method：62 cases of pelvic fractures complicated with posterior urethral disruption accepted diagnosis and treatment in our hospital from February 2013 to February 2014 were selected as research objects，they were divided into the research group and the control group according to the random number table method，31 cases in each group.The control group was given routine surgery for treatment，the research group was given urethral realignment and traction treatment on the basis of the control group.The clinical effect of the two groups was observed and compared.Result：After treatment，the total effective rate of the research group was 93.55%（29/31），which was significantly higher than 74.19%（23/31） of the control group，the difference was statistically significant（字2=4.2923，P=0.0383）.Conclusion：For patients with pelvic fractures complicated with posterior urethral disruption，the implementation of realignment traction timely and early can promote the overall treatment efficiency of the patients，and the operation method is safe and convenient，can be widely used in clinical treatment. 　　【Key words】 Pelvic fractures； Posterior urethral disruption； Treatment effect 　　First-author’s address：The People’s Hospital of Xihua County，Xi