不同尿液引流法在尿道成形术后的应用价值  

A value of different urine drainage after urethroplasty

作　　者：顿金庚[1] 齐范[1] 申鹏飞[1] 陈湘[1] 谢志光[1] 周芳坚[1] 蒋先镇[1] 齐琳[1] 张向阳[1] 

机构地区：[1]湖南医科大学附属湘雅医院泌尿外科,长沙410008

出　　处：《临床泌尿外科杂志》1998年第6期269-271,共3页Journal of Clinical Urology

摘　　要：1990年1月～1997年7月采用各种术式一期矫治尿道下裂患者70例，术后均作尿液引流。按尿液引流方法分为3组：A组，行膀胱造瘘引流35例（50．0％）；B组，行会阴尿道造瘘引流18例（25．7％）；C组，经尿道导管引流17例（24．3％）。A、B、C组患者住院天数分别为40．2、37．4、20．0d；1次手术成功率分别为45．7％、72．2％、82．4％（P＜0．01）。认为熟练的手术技巧配合良好的尿液引流是尿道成形术成功的保障。术后采用尿道导管引流具有尿道支架及引流的双重功能，安全有效，可以满足尿道成形术后短期尿液引流的需要。From January 1990 to July 1997,a total of 70 cases of hypospadias underwent ure-throplasty and different urine drainage after operation. The patients were divided into three groups based on the method of urine drainage. In group A,suprapubic cystotomy was performed in 35 cas-es (50.0% ); In group B, perineal urethrostomy in 18 cases (25. 7 % ), In group C, transurethral catheterization drainage in 17 cases (24.3 % ). The average period of hospitalization in group A, B and C was 40. 2,37. 4 and 20.0 days,respectively. The success rate of one-stage urethroplasty was 45.7%, 72. 2% ans 82. 4% respectively (P<0.01). The results show that transurethral catheteri-zation drainage plays an important role both in stand and in drainage. lt is suggested that transure-thral catheterization drainage is safe,effective and mandatory after urethroplasty.

关 键 词：尿道下裂 尿液引流 尿道成形术 

分 类 号：R696.05[医药卫生—泌尿科学]