前列腺等离子电切术后3种不同导尿管牵引的对比研究

Comparative Study on the Three Methods of Balloon Catheter Traction after Transurethral Resection of the Prostate

探讨经尿道前列腺等离子电切术后3种不同导尿管牵引方法的优缺点。选取2013年5月～2014年10月大连市第五人民医院同一治疗组收治并手术的前列腺增生患者150例，按入院顺序随机分为3组，每组各50例。患者术后分别采用胶布固定法（Ⅰ组），纱布压迫法（Ⅱ组），皮筋牵引法（Ⅲ组）进行导尿管牵引。比较3组临床疗效。Ⅲ组在术后24h尿液中红细胞计数、术后膀胱痉挛次数、膀胱冲洗液转清时间、术后疼痛评分、拔管时间、术后暂时性尿失禁发生率、尿失禁持续时间方面明显低于前2组，Ⅲ组与Ⅰ组、Ⅱ组比较差异有统计学意义（P〈0．05）。经尿道前列腺等离子电切术后使用皮筋牵引法可有效减少术后出血、减轻膀胱痉挛、减轻术后疼痛、操作简单，并发症少等，值得临床推广。

To investigate the clinical effects of fixed with traction, inner thighs adhesive tape fixed, gauze node fixed balloon catheter after the transurethral electrovaporization of the prostate. 150 patients with benign prostatic hyperplasia were selected from May 2013 to October 2014. They were randomly divided into the inner thighs adhesive tape fixed group, the alternating with gauze node group, the traction fixation group, with 50 cases in each group. We compared the clinical effects of 3 groups. Traction fixation group in the assessment of red blood cell count in 24 hours after operation, bladder spasm, bladder irrigation fluid clear time, postoperative pain score, extubation time, the probability of temporary urinary incontinence after surgery, duration of urinary incontinence was significantly lower than those of the inner thigh adhesive tape fixed group and the alternating with gauze node method group; the traction fixation group and the inner thighs adhesive tape fixed group and the alternating with gauze node group with statistically significant （P〈0.05）. Traction fixed balloon catheter has the advantages of simple operation, quick hemostasis, less complication, so it worths the clinical promotion.