摘要
目的评价Seldinger技术膀胱微造瘘在处理急性尿潴留导尿失败患者中的临床疗效。方法应用Seldinger技术深静脉留置针套装行膀胱穿刺造瘘患者25例,其中9例为尿道狭窄患者,16例为前列腺增生导尿失败患者。同时随机采用传统膀胱穿刺针造瘘20例为对照组。对两组的手术时间、出血量、副损伤、并发症、疼痛、切口愈合情况进行比较。结果Seldinger技术造瘘时间短、出血少、术中副损伤少、无明显疼痛,伤口愈合好等优点,且安全有效,尤其适用于老年患者。
Objectives To evaluate the effectiveness and safety of using Seldinger suprapubic catheter in the cases of acute urinary retention ( AUR ) where urethral catheterization is contraindicated or deemed difficult. Methods The Seldinger group: 25 AUR patients were treated with suprapubic catheter by using Seldinger tech- nique, 9 urethrostenosis cases and 16 prostatoplasia cases. The control group: 20 ARU cases were treated with supra- pubic catheter by classical bladder trocar. The operation time, amount of bleeding, side injury, complications, pain and Wound healing were compared for the both groups. Results The Seldinger group have such advantages : short operation time, less bleeding, no or litter side injury, complications, pain, and healing well. So the Seldinger tech- nique is a safe and effective method, especially for elder patients.
出处
《国际泌尿系统杂志》
2012年第6期758-760,共3页
International Journal of Urology and Nephrology
关键词
尿潴留
导管插入术
Urivery Retention
Catherterization