女性尿道损伤四例报告(摘要)

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女性尿道短而且粗,前有耻骨联合保护,后为阴道,位置比较隐蔽,损伤极为罕见。本院自1980~1990年收治4例,现报道如下。一、临床资料本组4例,年龄6~27岁。拖拉机或汽车撞伤3例,产伤1例。受伤至入院时间4~31小时。症状为:3例阴道流血、尿潴留伴休克;1例产后5天出现尿失禁。损伤程度:距尿道外口纵形裂伤1.5cm2例;距尿道外口环形断裂2.3cm,2.5cm各1例,3例合并骨盆骨折者中,1例伴会阴直肠裂伤及左大腿会阴皮肤撕脱伤,1例伴胫腓骨骨折,1例伴右卵巢破裂、阴道直肠瘘。 Female urethra short and thick, the former pubic symphysis protection, after the vagina, the location of relatively hidden, damage is extremely rare. The hospital from 1980 to 1990 admitted in 4 cases, are reported below. First, the clinical data of this group of 4 cases, aged 6 to 27 years. Tractor or car bruised in 3 cases, 1 case of birth injury. Injured to admission time 4 ~ 31 hours. Symptoms were: 3 cases of vaginal bleeding, urinary retention with shock; 1 case 5 days postpartum urinary incontinence. The degree of injury: from the urethral longitudinal laceration 1.5cm2 cases; from the external orifice of the urethral ring 2.3cm, 2.5cm in 1 case, 3 cases of pelvic fractures, 1 case of perineal rectal laceration and left thigh perineal skin Avulsion, 1 case with tibia and fibula fracture, 1 case with right ovarian rupture, vaginal fistula.
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