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目的 :评价尿道造影对尿道损伤临床分类及处理的价值。方法 :对 40例尿道损伤患者进行尿道造影及临床分类 ,并按其分类进行相应的处理。结果 :行腔内处理及开放手术 2 5例 ( ～ 类 ) ,其尿道造影分类与手术所见对照 ,诊断符合率为 10 0 %。 36例按临床分类治疗者中仅 1例发生尿道狭窄 ,治愈率为 97.2 %。 4例未按临床分类治疗者均发生尿道狭窄。结论 :尿道造影对尿道损伤临床分类是一个无创、可靠的诊断方法 ,按此临床分类进行治疗 ,可减少尿道狭窄、阳萎的发生 ,提高尿道损伤的治愈率
Objective: To evaluate the value of urethrography in the classification and treatment of urethral injury. Methods: Forty urethral injury patients underwent urethrography and clinical classification, and according to their classification, the corresponding treatment. Results: Twenty-five cases (~ class) underwent endovascular treatment and open surgery. The classification of urethral angiography was compared with the surgical findings. The diagnostic coincidence rate was 100%. Thirteen of 36 patients underwent clinically classified urethral stricture, with a cure rate of 97.2%. Urethral stricture occurred in 4 cases without clinical classification. Conclusion: The clinical classification of urethral injury by urethra is a non-invasive and reliable diagnostic method. According to this classification, urethral stricture and impotence can be reduced and the cure rate of urethral injury can be increased