膀胱创伤性破裂：耻骨上导管是否必要？
Traumatic rupture of the urinary bladder: is the suprapubic tube necessary?
作者信息
Parry Neil G, Rozycki Grace S, Feliciano David V, Tremblay Lorraine N, Cava Raymond A, Voeltz Zachery, Carney Jeffrey
机构信息
Department of Surgery, Grady Memorial Hospital, Emory University School of Medicine, Atlanta, Georgia 30303, USA.
出版信息
J Trauma. 2003 Mar;54(3):431-6. doi: 10.1097/01.TA.0000053196.19218.4F.
BACKGROUND
Although surgical principles are well accepted for the treatment of an intraperitoneal or extraperitoneal rupture of the urinary bladder, the type and number of drainage catheters needed to obtain a satisfactory outcome with minimal patient morbidity have yet to be determined.
METHODS
This was a retrospective review of data on injured patients with the diagnosis of an intraperitoneal or extraperitoneal rupture of the urinary bladder from penetrating or blunt trauma.
RESULTS
Of the 51 patients identified, 28 were treated with suprapubic and transurethral catheters, whereas 23 received a transurethral catheter only. Complications and catheter duration times were similar regardless of type of bladder injury or drainage catheter used (p > 0.5).
CONCLUSION
These data suggest that there are similar outcomes and complication rates for patients treated with suprapubic and transurethral catheters versus transurethral catheter only. Transurethral catheters alone seem effective in draining all types of bladder injuries.
背景
尽管手术原则已被广泛接受用于治疗膀胱腹膜内或腹膜外破裂，但为获得满意疗效并使患者发病率降至最低所需的引流导管类型和数量尚未确定。
方法
这是一项对因穿透性或钝性创伤导致膀胱腹膜内或腹膜外破裂的受伤患者数据的回顾性研究。
结果
在确诊的51例患者中，28例接受耻骨上和经尿道导管治疗，而23例仅接受经尿道导管治疗。无论膀胱损伤类型或使用的引流导管如何，并发症和导管留置时间相似（p>0.5）。
结论
这些数据表明，耻骨上和经尿道导管联合治疗与仅使用经尿道导管治疗的患者有相似的疗效和并发症发生率。仅经尿道导管似乎对引流所有类型的膀胱损伤有效。
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