前列腺电切术后两种不同拔尿管方法对尿道损伤的临床观察

Clinical Observation of Urethral Injury by Two Different Urethral Extraction Methods after Transurethral Resection of the Prostate

目的探讨预防尿道损伤的最佳拔管方法。方法选取前列腺电切术后患者175例,随机分为观察组85例和对照组90例,其中观察组采用改良拔管法拔除导尿管,对照组采取传统的方法拔除导尿管,观察两组患者拔尿管时疼痛、拔尿管后首次排尿疼痛以及出血情况。结果观察组拔尿管时的疼痛及拔尿管后首次排尿疼痛、出血比例明显低于对照组(P<0.05),差异有统计学意义。结论采用改良方法拔除气囊导尿管能明显减轻患者的疼痛,减少尿道出血,降低尿道损伤发生率,值得临床推广应用。

Objective To explore the best extubation method to prevent urethral injury. Methods One hundred and seventy-five patients with prostate resection were randomly divided into observation group (85 cases) and control group (90 cases). In observation group, the catheter was removed by modified extubation method, while in control group, the catheter was removed by traditional method. The pain of pulling out the catheter, the pain of first urination after pulling out the catheter and the bleeding were observed in the two groups. Results The pain of pulling out the catheter, the pain of first urination after pulling out the catheter and the bleeding ratio in the observation group was significantly lower than that in the control group (P<0.05), and the difference was statistically significant. Conclusion The improved method of removal of balloon catheter can obviously relieve pain, reduce urethral bleeding and reduce the incidence of urethral injury, which is worthy of clinical application.