복강내 및 복강외 방광파열의 임상특성 비교
Comparison of Clinical Characteristics between Intraperitoneal and Extraperitoneal Bladder Rupture
정재민, 이상돈, 김정만,
소속 상세정보
정재민 ( Chung Jae-Min )
고신대학교 의과대학 비뇨기과학교실
이상돈 ( Lee Sang-Don )
부산대학교 의과대학 비뇨기과학교실
김정만 ( Kim Jung-Man )
부산대학교 의과대학 비뇨기과학교실
KMID : 0358320070480030327
Abstract
Purpose: To compare the clinical characteristics between intraperitoneal and extraperitoneal bladder ruptures.
Materials & Methods: 58 patients with a bladder rupture were divided into group A (34 intraperitoneal rupture) and group B (24 extraperitoneal rupture). The medical records and radiological findings were retrospectively reviewed.
Results: The follow up period in all patients was 5.8±4.5 months (1-20 months). The male to female ratios and the mean ages in groups A and B were 14:3, 17:7 and 43.9±14.2, 46.4±14.8 years, respectively (p>0.05), with the peak incidence being in the fifth and sixth decades. There were no statistical differences in the urologic symptoms and signs between groups A and B. The common cause of injuries in groups A and B were direct blow (41.3%) and out-car traffic accident (54.1%), respectively (p<0.05). The main associated injuries in groups A and B were pelvic bone fractures or intestinal injuries and pelvic bone fractures, respectively. The treatment modalities were an operation in 32 (94.1%) in group A; all group B cases were conservatively managed. The durations of catheter indwelling were 17.0±9.4 and 22.7±10.9 days in groups A and B, respectively (p<0.05).
Conclusion: The bladder rupture occurred commonly in the fifth and sixth decades, especially in males. The most frequent causes of intraperitoneal and extraperitoneal ruptures were a direct blow and a traffic accident, respectively. Pelvic bone fractures were the most common associated injury, especially with extraperitoneal ruptures. In contrast to an extraperitoneal rupture, most intraperitoneal ruptures were managed by operative methods. The duration of catheter indwelling was significantly shorter with intraperitoneal than extraperitoneal ruptures. (Korean J Urol 2007;48:327-332)
키워드
Bladder;Rupture;Character
원문 및 링크아웃 정보
등재저널 정보