bladder injury
Introduction
Introduction to bladder injury basic knowledge The proportion of illness: 0.08% Susceptible people: no special people
Cause
Cause of bladder injury
Direct violence (15%):
Indirect violence (20%):
Trauma (8%):
Iatrogenic bladder injury (6%):
Due to the examination of the bladder in recent years, cystoscopy, intravesical lithotripsy, transurethral bladder operation and treatment, such as electrocautery, electric resection, etc., can cause bladder perforation, mostly due to bladder lesions. Cystoscopy, some indications are not properly mastered, if some bladder capacity is too small, the bladder can be perforated when the cystoscope is delivered, when the bladder tumor is cut, if the cut is too deep or when the observation is not satisfactory, When the bladder is inflated again, the bladder wall is thin. It is easy to cause perforation of the bladder when performing electric resection. For example, the peritoneal bladder can be perforated at the top, and the extraperitoneal bladder is ruptured (perforated) in other parts. The bladder is injected with corrosive agent. Drugs or sclerosing agents can cause bladder damage, such as pelvic surgery, gynecological surgery, obstetric surgery, rectal surgery, hernia repair surgery, etc. can cause bladder injury, pregnant women in childbirth, the head has been into the pelvic cavity, the second stage of labor Long, when there is compression of the bladder, it can often cause bladder trigone, vaginal wall, urethra and other soft tissues to be compressed and cause ischemia, hypoxia and necrosis, and fall off to form vesicovaginal fistula or urethra vagina, especially
Pathogenesis
2, bladder rupture bladder wall continuity is destroyed, there is urinary extravasation, and its corresponding symptoms, bladder rupture according to the relationship between rupture and peritoneal position, can be divided into three categories:
Prevention
Bladder injury prevention
Complication
Bladder injury complications