尿道下裂术后3种不同尿液引流方式的临床护理及效果观察  

Three different strategies of urine drainage following hypospadias surgery:Clinical nursing and observation

作　　者：林宁[1] 邱金花[1] 吴玉莲[1] 林峥[1] 曹莲芳[1] 林小丹[1] 卢丽钦 江平[1] 朱素云[1] 

机构地区：[1]福建医科大学附属第一医院泌尿外科,福建福州350005

出　　处：《中华男科学杂志》2015年第2期153-156,共4页National Journal of Andrology

摘　　要：目的:探讨尿道下裂术后3种不同尿液引流方式的临床护理与效果。方法:对2001年3月至2012年12月期间收治的595例接受一期尿道下裂成形术治疗患者的资料进行回顾性分析。其中A组患者(133例)采用"耻骨上膀胱造瘘法"引流;B组患者(202例)采用"尿道内留置支架管法"引流,C组患者(260例)采用"尿道支架管早期自主排尿法"。3组患者均按尿道下裂术后常规护理。结果:3组595例患者均顺利完成手术治疗,术后通过接受不同的尿液引流方式及其相关护理,A、B两组患者的住院时间以及尿瘘与尿道狭窄发生率比较均无统计学意义(P>0.05);C组的住院时间以及尿瘘与尿道狭窄发生率显著少于(低于)A、B两组,C组与A、B两组比较均有统计学意义(P<0.05)。结论:尿道下裂术后采用尿道支架管早期自主排尿法,不仅可显著减少术后尿瘘及尿道狭窄的发生,而且缩短住院日,也在一定程度上减轻护理难度,减少护理工作量,提高患者满意率,值得临床推广应用。Objective： To study 3 different strategies of urine drainage following hypospadias urethroplasty, the clinical nursing in their application, and their effects. Methods ： We retrospectively analyzed the clinical data of 595 cases of hypospadias treated by urethroplasty. After surgery, 133 of the patients underwent urine drainage by suprapubic cystostomy （group A）, 202 by urethral stent-tube indwelling （group B）, and 260 by early initiative mieturition with the urethral stent-tube （group C）. All the patients received routine postoperative nursing care required for hypospadias repair. Results： Operations were successfully completed in all the cases. Group C showed a remarkably shorter hospital stay and lower incidence rates of urinary fistula and urethral stricture than groups A and B （P 〈 0. 05 ）, but there were no significant differences in the three indexes between A and B （ P 〈0. 05 ）. Conclusion ： For urine drainage following hypospadias repair, early initiative micturition with the urethral stent-tube can significantly reduce postoperative complications, decrease difficulties and workload of nursing care, and shorten the hospital stay of the patient.

关 键 词：尿道下裂 尿液引流 临床护理 

分 类 号：R699[医药卫生—泌尿科学]