耻骨上气囊尿管牵引固定法预防前列腺电切术后并发症的效果

Effect of traction fixation method of pubic balloon ureter in postoperative complication prevention of transurethral resection of the prostate

目的：探讨耻骨上气囊导尿管的固定方法对前列腺电切术后患者并发症的影响。方法选择行前列腺电切术的699例患者为研究对象，将2012年1月—2013年6月术后使用耻骨上尿管牵拉固定的367例患者作为观察组，2010年7月—2011年12月使用大腿根部固定法的332例患者作为对照组，比较两组患者不同牵拉固定方法后并发症发生率和患者舒适度。结果观察组患者尿中红细胞平均每高倍视野为（45．6±10．4）个，对照组为（52．0±13．1）个，差异有统计学意义（t＝11．104，P＜0．05）；观察组患者尿管膀胱痉挛、尿管堵塞、下肢静脉血栓发生率分别为9．8％，6．8％，0．0％，对照组分别为28％，10．8％，1．2％，差异均有统计学意义（χ^2值分别为27．041，29．234，4．457；P ＜0．05）。结论耻骨上气囊尿管固定方法可减少前列腺电切术后患者出血、膀胱痉挛、堵管等并发症，增加患者舒适度。

Objective To explore the effect of traction fixation method of pubic balloon ureter on postoperative complication of transurethral resection of the prostate .Methods Selected 367 patients with traction fixation method of pubic balloon ureter from January 2012 to June 2013 as observation group , and 332 patients from July 2010 to December 2011 as control group with thighs fixed method of balloon catheter .Then, the complication＆amp;nbsp;of postoperative complication and patients comfort level were observed and compared between two groups . Results The red blood cells in the urine per high power field in observation group was （45.6 ±10.4）, and that in control group was （52.0 ±13.1）, and the difference was statistically significant （ t =11.104,P 〈0.05）.The incidence of cystospasm , ureter blocking, thrombus of lower extremity veins in observation group （9.8%,6.8%,0.0%） was lower than the control group （28%,10.8%,1.2%）, the differences were statistically significant（χ^2 =27.041,29.234,4.457, repectively;P〈0.05）.Conclusions Application of traction fixation method of pubic balloon ureter in transurethral resection of the prostate can reduce the postoperative complications such as blooding , cystospasm, ureter blocking and so on, which also can improve the comfort level of patients.