经耻骨上膀胱造瘘联合尿道插管与单纯尿道插管治疗腹膜内膀胱损伤的前瞻性评估
Prospective evaluation of combined suprapubic and urethral catheterization to urethral drainage alone for intraperitoneal bladder injuries.
作者信息
Alli Mohammad Ozair, Singh Bhugwan, Moodley Jaynathan, Shaik Abdool Samad
机构信息
Department of Surgery, Faculty of Health Sciences, Nelson R Mandela School of Medicine, Congella, South Africa.
出版信息
J Trauma. 2003 Dec;55(6):1152-4. doi: 10.1097/01.TA.0000046255.12137.18.
BACKGROUND
The role of suprapubic catheterization after repair of intraperitoneal bladder injury is controversial and has been found to be superfluous in retrospective studies. We sought to evaluate bladder drainage prospectively.
METHODS
Patients were prospectively enrolled and were assigned to suprapubic catheter drain after bladder repair or urethral catheter alone determined by the unit admitting the patient. Factors that were evaluated were associated injuries, hospital stay, duration of catheterization, and catheter-related complications.
RESULTS
There were 42 patients: there were 39 male patients, and the mean age was 29.6 years. The patients were matched for age and associated injuries. The morbidity (p = 0.004) and hospital stay (p = 0.028) were significantly higher in the suprapubic drainage group.
CONCLUSION
Urethral catheterization is adequate to effect bladder drainage after intraperitoneal bladder injury. In addition, it is associated with a shorter hospital stay and lower morbidity.
背景
耻骨上膀胱造瘘术在腹膜内膀胱损伤修复后的作用存在争议，并且在回顾性研究中发现其并无必要。我们旨在对膀胱引流进行前瞻性评估。
方法
前瞻性纳入患者，并根据收治患者的科室将其分配至膀胱修复后行耻骨上导管引流组或仅行尿道导管引流组。评估的因素包括相关损伤、住院时间、置管时间及导管相关并发症。
结果
共有42例患者，其中男性39例，平均年龄29.6岁。患者在年龄和相关损伤方面相匹配。耻骨上引流组的发病率（p = 0.004）和住院时间（p = 0.028）显著更高。
结论
尿道导管引流足以实现腹膜内膀胱损伤后的膀胱引流。此外，它与较短的住院时间和较低的发病率相关。
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