膀胱灌注治疗宫颈癌根治术后尿潴留疗效观察

Bladder in the treatment of cervical cancer after radical effect of urinary retention

目的了解膀胱灌注治疗宫颈癌术后尿潴留的效果。方法60例首次行广泛性全子宫切除术+盆腔淋巴结清扫术的宫颈癌患者随机分为观察组(n=30)和对照组(n=30),两组均采取综合治疗护理措施,对照组采用传统的方法拔除尿管后测残余尿量,若残余尿量>100ml予重新留置尿管3d。观察组在综合治疗护理措施的基础上加用膀胱灌注保留膀胱灌洗液,拔除尿管后不再留置导尿管。结果观察组有3例发生尿潴留,对照组有10例发生尿潴留,两组差异有统计学意义(P<0.05)。结论综合护理配合膀胱灌注保留膀胱灌洗液对治疗宫颈癌术后尿潴留有效。

Objective To evaluate the effect of treating uroschesis after operation for invasive cervical cancer by perfusion through bladder. Methods 60 patients of invasive cervical cancer who have had radical hysterectomy and pelvic lymphadenectomy are diveded in two groups randomly. One group is observation group （n = 30）and the other one is control group （n = 30）. In both two groups, the patients get a systematic nursing and treatment. In the control group we use the trational mathod which is measuring the residual urine of patients after pulling out the catheter,if the residual urine is more than 100 ml, the catheter would be left for another 3 days. In the observation group, perfusion through bladder is used on systematic nursing and treatment basis, so the irrigating solution is retained in the bladder. And no more catheter is left after pulling out. Results In the obeservation group 3 patients get a uroschesis and 10 in the control group. There is a remarkable difference between the two groups （ P 〈 0.05 ）. Conclusion perfusion through bladder and retaining the irrigating solution on systematic nursing basis is effctive for uroschesis after operation for invasive cervical cancer.