期刊文献+

74例耻骨上膀胱穿刺造瘘术早期并发症的处理 被引量:21

Treatment and prevention of the early complications of paracentetic suprapubic cystostomy in 74 cases
下载PDF
导出
摘要 目的 :探讨耻骨上膀胱穿刺造瘘术早期并发症发生的原因及防治措施。方法 :局麻下耻骨上膀胱穿刺造瘘术 1 6 0 0例患者中出现并发症的共 74例 ,其中 ,穿刺误入腹腔 3例 ,出血及血肿 7例 ,尿外渗 1 8例 ,改开放性手术造瘘 5例 ,造瘘管脱落 3例 ,膀胱刺激症状 32例 ,感染 6例 ,均给予相应的治疗。结果 :经用不同的方法治疗 ,所有的并发症均获治愈或好转。结论 :发生耻骨上膀胱穿刺造瘘术早期并发症的原因有解剖异常、操作失误、术前准备不充分和导尿管刺激等 ,正确操作、术前充分准备。 Purpose:To study the cause and prevention of the early complications of paracentetic suprapubic cystostomy.Methods:Paracentetic suprapubic cystostomy was operated in local anesthesia in 1600 cases, 74 patients had complication. Injured to abdominal cavity happened in 3 cases, hemorrhage and hematoma in 7 cases, urecchysis in 18 cases, transform operating fistulization needed in 5 cases,drainage-tube came off in 3 cases, irritation sign of bladder was found in 32 cases and 6 cases had infection. All were treated by different ways.Results:All patients with complication were cured or improved by different means.Conclusions:The reasons of early complications of paracentetic suprapubic cystostomy included anatomical abnormity?operative error?inadequate preoperative preparation and irritation by catheter. Most of these complication could be prevented and cured by accurate operation,adequate preoperative preparation,close postoperative observation and timely treatment.
出处 《临床泌尿外科杂志》 2003年第6期353-355,共3页 Journal of Clinical Urology
关键词 耻骨上膀胱穿刺造瘘术 早期 并发症 处理 膀恍疾病 Bladder Puncture Cystostomy
  • 相关文献

参考文献8

  • 1邓学真.耻骨上膀胱穿刺造口术[J].中国临床医生杂志,2002,30(3):13-14. 被引量:10
  • 2Cornell K K. CystotomY, partial cystectomy, and tube cystostomy. Clin Tech Small Anim Pract, 2000, 15: 11--16.
  • 3Mitsui T, Minami K, Furuno T, et al. Is suprapubic cystostomy an optimal urinary management in high quadriplegics? A comparative study of suprapubic cystostomy and clean intermittent catheterization. Eur Urol, 2000, 38:434--438.
  • 4Addison R, Mould C. Risk assessment in suprapubic catheterisation. Nurs Stand, 2000, 14: 43-- 46.
  • 5Heit M. Infectious peritonitis complicating suprapubic catheter removal. Int Urogynecol J Pelvic Floor Dysfunct, 1997, 8:47--49.
  • 6Yip S K, Leung T Y, Chan C K. Hematuria and clot retention after Burch colposuspension and Cystofix suprapubic catheterization: suprapubic cystotomy as an alternative suprapubic drainage method. Int Urogynecol J Pelvic Floor Dysfunct, 1998, 9 : 122 -- 124.
  • 7Meessen S, Bruhl P, Piechota H J. A new suprapubic cystostomy trocar system. Urology, 2000, 56: 315--316.
  • 8King D H, Barber D B, Farley N J, et al. Mutinous adenocarcinoma arising from a suprapubic cystostomy site without bladder involvement. J Spinal Cord Med,1997, 20:244--246.

共引文献9

同被引文献109

引证文献21

二级引证文献48

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部