Diagnosis and treatment of 16 cases of blunt bladder injury and review of the literature
Objective To explore the diagnosis and treatment of blunt bladder injuries.Methods A ret-rospective analysis was conducted on 16 patients with blunt bladder injuries treated in the Hebei Medical University Third Hospital from Sep.2021 to Jan.2023,including 12 males and 4 females aged 28-75 years,mean 42.9 years.There were 10 cases of road traffic injuries,3 crash injuries by heavy objects,and 3 falls from height.Among them,there were 10 cases of extraperitoneal bladder rupture and 4 intraperitoneal bladder rupture,all of which underwent bladder rupture repair;the other 2 cases were bladder contusion and treated non-surgically.Results Of the 16 pa-tients in this series,2 complicated bladder tamponade and 5 had lower extremity deep vein thrombosis,all of which eventually recovered well.As for the 14 patients with bladder rupture,the one-stage surgery showed a 100％success rate,with a hospitalization time of 7-39(mean 20.6)d,operation time of 81-170(mean 129.6)min,and well-healed wounds at final follow-up.For the 2 patients with bladder contusion,they were discharged successfully after conservative treatment,followed up of 1-6 months,all patients attained satisfactory treatment effects.Conclusion Multi-method evaluation is the key to improving the diagnostic efficiency of blunt bladder injuries.For patients with bladder contusion,non-surgical treatment is effective with good outcomes;for patients with complex bladder rupture or bladder rupture complicated with bladder tamponade,early bladder rupture repair can improve the cure rate of pa-tients,but attention should be paid to prevent lower extremity deep vein thrombosis.
万方数据
维普
