骨盆骨折后尿道断裂、直肠损伤等,处理较为困难,往往引起后尿道疤痕狭窄或闭塞,有时多次手术效果仍不满意,需经耻骨进路手术切除疤痕尿道对端吻合术,才能获得较满意的效果。我院1980～1983年收治后尿道闭塞2例,经耻骨进路手术治愈,现报导如下: 病例①男,60岁,农民,因会阴部被牛角刺伤排尿困难14h于1980年1月14日入院。检查:T38℃,P68次/分,R18次/分,BP130/90mmHg。一般情况好,神清,急性病容,心肺正常,下腹部隆起,腹软,肝脾末触及,膀胱区叩浊音,肠鸣正常。阴囊明显肿胀,尿道外口有血迹,肛门右侧有5cm长裂口,渗出血性液。肛门指检:直肠前 Pelvic fracture urethra rupture, rectal injury, etc., more difficult to deal with, often causing urethral stricture or occlusion of the urethra, and sometimes the effect of multiple surgeries are still not satisfied with the need to go through the pubic bone resection scar urethral anastomosis in order to obtain more satisfaction Effect. Our hospital from 1980 to 1983 admitted after urethral occlusion in 2 cases, by the pubic bone surgery cured, are reported as follows: Case ① male, 60 years old, due to perineal urinary incontinence stabbing 14h on January 14, 1980 Admission. Check: T38 ℃, P68 beats / min, R18 beats / min, BP130 / 90mmHg. In general, Shen Qing, acute illness, normal heart and lung, lower abdomen bulge, abdomen soft, liver and spleen touches the bladder area knock sound dull, bowel normal. Scrotal apparently swollen, outside the urethra with blood, anal right 5cm long gap, exudate bloody fluid. Anal referral: rectum