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外科研究与新技术（中英文）

外科研究与新技术 ›› 2020, Vol. 9 ›› Issue (3): 170-172.doi: 10.3969/j.issn.2095-378X.2020.03.006

• 论著 • 上一篇    下一篇

单猪尾导管在前列腺增生所致尿潴留中的临床应用

侯明强, 蔡启波, 简久茂, 周鲮鑫, 蔡欢欢   

  1. 遵义市习水县人民医院泌尿外科,贵州 遵义 564600
  • 收稿日期:2020-06-09 出版日期:2020-09-28 发布日期:2021-05-13
  • 作者简介:侯明强（1979—）,男,大学本科,副主任医师,从事临床泌尿外科工作;电子信箱：hmqchl@qq.com
  • 基金资助:
    贵州省卫生计生委科学技术基金项目（GZWJKJ 2016-1-075）

Clinical application of single pigtail catheter in urinary retention induced by benign prostatic hyperplasia

HOU Mingqiang, CAI Qibo, JIAN Jiumao, ZHOU Lingxin, CAI Huanhuan   

  1. Department of Urology, People’s Hospital of Xishui County, Zunyi 564600, Guizhou, China
  • Received:2020-06-09 Online:2020-09-28 Published:2021-05-13

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摘要： 目的 分析单猪尾导管在前列腺增生所致尿潴留患者中治疗效果。方法 选取62例经导尿失败的前列腺增生所致尿潴留患者,随机分为观察组和对照组。观察组30例,采用单猪尾膀胱造瘘导管行膀胱穿刺造瘘术治疗。对照组32例,采用膀胱造瘘管行膀胱穿刺造瘘术治疗。观察两组患者围手术期指标（手术时间、瘘口愈合时间、拔管时间、术中出血量）及术后并发症（血尿、瘘道感染、膀胱刺激征、造瘘管堵塞）。结果 观察组手术时间、术中出血量均短于对照组（P<0.05）;观察组术后并发症发生率低于对照组（P<0.05）。结论 前列腺增生所致尿潴留患者行单猪尾导管膀胱造瘘术治疗具有明显优势,值得临床推广应用。

关键词: 前列腺增生, 尿潴留, 膀胱造瘘, 单猪尾导管

Abstract: Objective To analyze the therapeutic effect of single pigtail catheter on urinary retention caused by prostatic hyperplasia. Methods A total of 62 patients with urinary retention caused by benign prostatic hyperplasia after catheterization failure were randomly divided into an observation group and a control group. In the observation group, 30 cases were treated by cystostomy with single pigtail catheter. In the control group, 32 cases were treated by cystostomy with regular catheter. The perioperative indices （operation time, fistula healing time, extubation time, and intraoperative blood loss） and postoperative complications （hematuria, fistula infection, bladder irritation sign, and fistulostomy blockage） were observed in the two groups. Results Shorter operation time, less intraoperative blood loss, and lower incidence of postoperative complications were observed in the observation group than those in the control group （P<0.05）. Conclusion Single pigtail catheter cystostomy has obvious advantages in the treatment of urinary retention caused by benign prostatic hyperplasia and is worthy of clinical application.

Key words: Benign prostatic hyperplasia, Urinary retention, Cystostomy, Single pigtail catheter

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