耻骨上膀胱造瘘预防宫颈癌根治术后尿路感染的研究

目的探讨耻骨上膀胱造瘘预防宫颈癌根治术后尿路感染的临床应用效果。方法选取2009年1月至2014年12月行根治术的宫颈癌患者504例，根据术后留置尿管方法的不同分为膀胱造瘘组和留置尿管组，观察两组术后尿路感染情况，并进行统计学分析。结果术后第7天膀胱造瘘组的尿路感染发生率5．13％，明显低于留置导尿组33．62％（χ^2=46．89，P〈0．01）；术后第14天膀胱造瘘组的尿路感染发生率9．62％，明显低于留置导尿组52．30％（χ^2=82．42，P〈0．01）。结论耻骨上膀胱造瘘预防宫颈癌根治术后尿路感染效果良好，值得临床推广。

Objective To evaluate the clinical effect of prevention of urinary tract infection after radical operation of cervical carcinoma by suprapubic cystostomy. Methods We selected 504 patients with cervical cancer from January 2009 to December 2014 in our hospital underwent radical surgery patients, according to different methods of indwelling catheter after surgery for cystostomy group and Urethral catheterization group, urinary tract infection in two groups were observed after operation and analyzed statistically. Results The incidence rate was 5.13% after seventh days of cystostomy group was significantly lower than that of the infection, Urethral catheterization group 33.62% （ χ^2=46-89, P〈0.01 ） ; The incidence rate was 9.62% after fourteenth days of cystostomy group was significantly lower than that of the infection, Urethral catheterization group 52.30% （ χ^2=82.42, P〈0.01 ） .Conelusion Suprapubic cystostomy to prevent cervical cancer after radical operation of the urinary tract infection effect is good, worthy of clinical application.