膀胱镜检查并输尿管插管在剖宫产术中的应用效果分析  

Analysis of the effect of cystoscope conbination with ureter intubation in cesarean section

作　　者：黄慧娟 许巧英 黄贵连 

机构地区：[1]江西省瑞金市妇幼保健院妇产科,江西瑞金342500

出　　处：《中国当代医药》2017年第35期80-82,共3页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目

摘　　要：目的探讨膀胱镜检查在切口延裂或出血剖宫产术中应用的安全性及可行性。方法选择2014年1月~2016年12月在我院行剖宫产术时发生子宫切口延裂明显或切口出血丰富,行缝扎近宫颈处的患者60例进行回顾性分析。膀胱镜检查并输尿管插管为研究组;常规输尿管解剖位置检查,未行膀胱镜检查并输尿管插管的为对照组;分析比较两组手术时间、出血量、输尿管缝扎、二次手术、术后感染及并发等情况。结果与对照组相比,研究组手术耗时显著缩短[(50±10)min vs.(60±10)min](P=0.0003),研究组术中出血量较对照组显著更少[(300±20)ml vs.(350±30)ml](P=0.0000)。术后输尿管缝扎及二次手术发生数均显著更少(P=0.0166,P=0.0303),术后并发症与对照组比较,差异无统计学意义(P>0.05)。结论在需要缝合近宫颈处的剖宫产术中,应用膀胱镜检查并输尿管插管,可以缩短手术时间,降低输尿管缝扎及二次手术发生的风险。Objective To investigate the safety and feasibility of eystoscopy in cesarean section that delayed dehiscence or postpartum hemorrhage.Methods Retrospective analysis of 60 patients which sutued cervix becaused of delayed dehiscence or rich bleeding in cesarean section from January 2014 to December 2016 in Ruijin Maternal and Child Health Care Hospital.Patients who underwent intraoperative cystoscopy combined with ureter catheterization were considered as research group.Patients who just underwent routine detection of ureter anatomical location were considered as control group.And the operation time,bleeding volume,suture of ureter,cond operation,postoperative infection and complications were analyzed and compared between the two groups.Results Compared with the control group,operation time was significantly shortened in the research group [（50±10） min vs. （60±10） min]（P=0.0003） and intraoperative bleeding was significantly less [（300±20） ml vs. （350±30） ml]（P=0.0000）.Postoperative suture and second operation were significantly happened less in research group （P=0.0166,P=0.0303）,The postoperative complications were compared with the control group, and the difference was not statistically significant （P〉0.05）.Conclusion Combination intraoperative cystoscopy withureter catheterization may reduce shorten the operation time and reduce the risk of ureteral ligation and second operation in the cesarean section that requiring suture near the cervix.

关 键 词：剖宫产术 切口延裂 膀胱镜 输尿管插管 

分 类 号：R713[医药卫生—妇产科学]