膀胱造瘘在宫颈癌根治术后尿液引流中应用效果的系统评价

The effectiveness of suprapubic catheterization on bladder drainage after radical hysterectomy: A systematic review

目的系统评价膀胱造瘘在宫颈癌根治术后尿液引流中的应用效果。方法系统评价采用多个电子数据库,搜集随机对照试验和回顾性研究。结果共纳入8篇文献,评价结果显示,与经尿道引流尿液相比,膀胱造瘘可降低尿路感染发生率(P<0.01),促进膀胱功能恢复(P<0.01),降低重插管率(P<0.01),并缩短住院时间(P<0.05)。结论在宫颈癌根治术后使用膀胱造瘘进行尿液引流可以显著降低尿路感染发生率,缩短膀胱功能恢复时间和住院时间。

Objective To systematically evaluate the effect of suprapubic catheterization （SPC） on bladder drainage after radical hysterectomy. Methods Randomized Controlled Trial （RCT） and retrospective trials were systematically reviewed using multiple electronic databases. Results Eight litera- tures were included. The results of systematic review showed that SPC decreased urinary infection rate （ P 〈 0.01 ）, shortened the time needed for normal voiding （ P 〈 0.01 ）, reduced the reiutubation rate and hospital stay （ P 〈 0.05 ）. Conclusion The use of SPC after radical hysterectomy can decrease the urinary infec- tion ,facilitate the bladder recovery and shorten the hospital stay.