Ozkan Aybars, Okur Mesut, Kaya Murat, Büyükkaya Ramazan, Katranci Ali Osman, Kucuk Adem
Department of Pediatric Surgery, School of Medicine, University of Duzce Duzce, Turkey.
Int J Clin Exp Med. 2013 Aug 1;6(7):603-5. Print 2013.
Uncontaminated urine samples are indispensable to precisely diagnose urinary tract infections in new-borns or infants. Among many clinical interventions for urine collection are described, the most common noninvasive practice is using sterile bags, associated with significant contamination of samples. In children, however, invasive methods i.e. catheterization, are generally needed for reliable urine specimens. Almost always all the inserted catheters are easily drawn back, nevertheless, might not work as expected, and lead to considerable problems that cannot be overcome. Herein, a case of a female newborn treated with a successful percutaneous suprapubic cystoscopic procedure for extracting knotted urinary catheter in the bladder is presented. The least invasive and easiest technic is suggested to be used when catheter is knotted in the bladder, as elaborately stated.
未受污染的尿液样本对于准确诊断新生儿或婴儿的尿路感染至关重要。在描述的多种尿液采集临床干预措施中，最常见的非侵入性做法是使用无菌袋，但这会导致样本受到严重污染。然而，对于儿童而言，通常需要采用侵入性方法，即导尿术来获取可靠的尿液标本。几乎所有插入的导管都能轻松拔出，不过，可能无法达到预期效果，并导致一些无法克服的重大问题。在此，本文介绍了一例通过经皮耻骨上膀胱镜检查成功取出膀胱内打结导尿管的女婴病例。文中详细说明，当导尿管在膀胱内打结时，建议采用侵入性最小且最简单的技术。
