剖宫产术后UF-50尿沉渣分析的临床意义

Clinical Significance of Analysis of Urinary Sediment with UF-50 Flow-Style Analyzer following Cesarean Section

目的 :探讨早期筛查剖宫产术后膀胱损伤和泌尿系感染的方法。方法 :随机选取95份剖宫产术后尿样标本 ,用普通尿常规方法筛查和UF -50流式尿沉渣分析仪进行分析。结果 :剖宫产术后尿沉渣分析膀胱损伤者占77 89 % ,泌尿系感染者占6 32 %。急症剖宫产膀胱损伤发生率显著高于择期剖宫产 ;胎头入盆剖宫产膀胱损伤显著高于胎头未入盆者(P<0 .05)。而术前有无生殖道感染则与膀胱损伤无关(P>0 .05)。剖宫产术后泌尿系感染的发生率与产前是否存在生殖道感染密切相关(P<0 .001)。结论 :急症剖宫产术和胎头入盆后的剖宫产术易引起膀胱损伤 ,产前生殖道感染易引起剖宫产术后泌尿系感染。

Objective:To investigate the clinical significance of analysis of urinary sediment with UFˉ50auˉtomated urinalysis analyzer following cesarean section.Methods:Nintyˉfive urinary samples collected following cesarean section were selected randomly.They were analyzed with urine routine analyzer and UFˉ50automated urinalysis analyzer,respectively.Results:The injury rate of bladder was77.89%;the infection rate of urinary system was6.32%.The injury rates of bladder of emergency cesarean section and the cesarean section in which head engaged in brim were statistically higher than those of optional cesarean section and the cesarean section in which head unengaged in brim,respectively.The preˉoperative infection of genital tract was not related to the injury rate of bladder(P>0.05).The infection of urinary system after cesarean section was closely correlated with that before cesarean section(P<0.001).Conclusion:The emergency cesarean section and the cesarean section in which head engaged in brim easily causes the injury of bladder;the infection of urinary system before cesarean section easily causes the infection after cesarean section.