TY - JOUR A2 - 巴格利，大流士J. AU - 巴纳德，约翰AU - Overholt，泰勒AU - Hajiran，阿里AU - Crigger，乍得AU - 杰索普，莫里斯AU - 奈特，詹妮弗AU - 莫雷，乍得PY - 2019 DA -2019年12月12日TI - 创伤膀胱破裂：一个为期十年的回顾在一级创伤中心的SP - 2614586 VL - 只有1.6％的闭合性腹部盆腔创伤病例发生膀胱破裂 - 2019 AB。虽然罕见，膀胱破裂可能会导致显著的发病率，如果不能确诊或管理不当。AUA Urotrauma指南建议，导尿管引流护理两个腹膜外和腹腔膀胱破裂标准，无论需要手术修复。但是，没有具体的指导给出关于导管的长度。本研究试图在我们的三级医疗中心总结膀胱损伤的现代管理，评估对膀胱的伤害和并发症导管的长度的影响，以及伤愈的时间拔除导管开发膀胱损伤的管理协议。已于34413钝性外伤病例进行回顾性分析，在过去10年（2008年1月一月2018）在我们的三级医疗机构，以确定创伤性膀胱破裂。患者数据采集，包括年龄，性别，体重指数，受伤机制和人身伤害的类型。主要的治疗方式（手术修复与导管引流只），长导尿，以及伤后的并发症也进行了评估。我们的制度创伤数据库的审查中发现44例膀胱创伤。 Mean age was 41 years, mean BMI was 24.8 kg/m²，95％是白人，55％为女性。机动车辆碰撞（MVC）是最常见的机制，占总损伤的45％。其他机制包括瀑布（20％）和全地形车（ATV）事故（13.6％）。31例有腹膜外损伤，并且13人腹腔。骨盆骨折存在于93％，和39％有另外的固体脏器损伤。在59％的表现进行膀胱造影形式化，平均时间为膀胱造影4小时。肉眼血尿是在95％的病例指出。所有腹腔损伤和腹膜外的情况下，35.5％进行了手术管理。在执行情况下膀胱闭合物典型地在2层用在运行方式可吸收缝合线进行的。The intraperitoneal and extraperitoneal injuries managed operatively were compared, and length of catheterization (28 d vs. 22 d, p = 0.46 ), time from injury to normal fluorocystogram (19.8 d vs. 20.7 d, p = 0.80 ), and time from injury to repair (4.3 vs. 60.5 h, p = 0.23 ）均无群组之间统计学差异。Patients whose catheter remained in place for greater than 14 days had prolonged time to initial cystogram (26.6 d vs. 11.5 d) compared with those whose foley catheter was removed within 14 days. The complication rate was 21% for catheters left more than 14 days while patients whose catheter remained less than 14 days experienced no complications. The present study provides a 10-year retrospective review characterizing the presentation, management, and follow-up of bladder trauma patients at our level 1 trauma center. Based on our findings, we have developed an institutional protocol which now includes recommendations regarding length of catheterization after traumatic bladder rupture. By providing specific guidelines for initial follow-up cystogram and foley removal, we hope to decrease patient morbidity from prolonged catheterization. Further study will seek to allow multidisciplinary trauma teams to standardize management, streamline care, and minimize complications for patients presenting with traumatic bladder injuries. SN - 1687-6369 UR - https://doi.org/10.1155/2019/2614586 DO - 10.1155/2019/2614586 JF - Advances in Urology PB - Hindawi KW - ER -