两种经皮耻骨上膀胱穿刺造瘘术的疗效比较  

The difference of two paracentetic suprapubic cyctostomics in 46 cases:a comparative analysis of clinical efficacy

作　　者：梁平[1] 夏荣妍[2] 王亮[1] 李沙丹[1] 刘吉文[1] 张契敏 

机构地区：[1]成都军区总医院泌尿外科,四川成都610083 [2]成都军区总医院超声科,四川成都610083

出　　处：《西部医学》2012年第8期1545-1546,1548,共3页Medical Journal of West China

摘　　要：目的对比B超引导下膀胱穿刺造瘘术与传统盲穿法膀胱穿刺造瘘术治疗急慢性尿潴留的临床疗效。方法对46例需行膀胱穿刺造瘘术患者随机分组,分别行传统盲穿法膀胱穿刺造瘘术24例(传统盲穿组)和B超引导下膀胱穿刺造瘘术22例(B超引导组),对比两组的手术时间、术中出血量、术后疼痛程度及术后并发症等情况。结果 B超引导组术中出血量(1.9±0.5)ml,术后疼痛VAS评分[(1.5±0.6)分]和术后并发症发生率显著低于传统盲穿组(P<0.05),两组的手术时间无明显差异(P>0.05)。结论 B超引导下膀胱穿刺造瘘术操作简单、安全,患者痛苦小,较传统盲穿法膀胱穿刺造瘘术的临床疗效好。Objective To compare the clinical effects of ultrasound-guided percutaneous suprapubic cystostomy and conventional percutaneous suprapubic cystostomy in treatment of patients with urinary retention.Methods 46 patients required the placement of a suprapubic cystostomy catheter for bladder drainage were randomly classified into two groups,24 patients underwent conventional percutaneous suprapubic cystostomy（conventional group）,22 patients underwent ultrasound-guided percutaneous suprapubic cystostomy（ultrasound-guided group）.Operative time,bleeding volume,pain degree and postoperative morbidity were compared between the two groups.Results In ultrasound-guided group,bleeding volume（1.9±0.5ml）,pain score（1.5±0.6） and postoperative morbidity were lower than conventional group（P0.05）.Conclusion Ultrasound-guided percutaneous suprapubic cystostomy is a simple and safe procedure,the clinical effects of ultrasound-guided percutaneous suprapubic cystostomy is better than conventional method.

关 键 词：膀胱造瘘术 膀胱 超声引导 尿潴留 

分 类 号：R694.55[医药卫生—泌尿科学]