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首页> 外文期刊>Nature reviews. Urology >Management of combat-related urological trauma in the modern era
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Management of combat-related urological trauma in the modern era

机译：现代与战斗有关的泌尿外科创伤的管理

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Complex genitourinary injuries - associated with lower-extremity amputation as well as pelvic and abdominal wounding - have emerged as common occurrences in current military combat operations. The nature of combat injuries of the genitourinary tract is varied, as are the strategies used in their management. For example, 5% of all combat injuries include wounds of the urinary system or genitalia. For injuries that are predominantly penetrating in nature, immediate care requires the judicious preservation of viable tissue. Once the patient is stable, urethral, corporal and testicular lacerations are closed primarily, whereas soft tissue injuries are re-approximated in a delayed fashion. Negative-pressure dressings have been a useful aid in wound management; wound coverage is most commonly completed with split-thickness skin grafts and local flaps. Complex penile and urethral reconstructions are often delayed so orthopaedic injuries can heal and the patient can manage activities of daily living. Final reconstruction requires a urologist with a full understanding of reconstructive techniques.
机译：复杂的泌尿生殖系统损伤-下肢截肢以及骨盆和腹部受伤-在当前的军事作战行动中已屡见不鲜。泌尿生殖系统的战斗伤害的性质各不相同，其管理策略也有所不同。例如，所有战斗伤害中有5％包括泌尿系统或生殖器伤口。对于自然界中主要穿透的伤害，立即护理需要明智地保存活组织。一旦患者稳定，尿道，身体和睾丸的撕裂伤便会首先闭合，而软组织损伤会以延迟的方式重新接近。负压敷料已经在伤口处理中提供了有用的帮助。伤口覆盖最常见的是用厚薄的皮肤移植物和局部皮瓣完成。复杂的阴茎和尿道重建通常会延迟，因此骨科损伤可以can愈，患者可以处理日常生活活动。最终的重建需要泌尿科医生对重建技术有充分的了解。

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