Schiøtz H A, Malme P A, Tanbo T G
Dept. of Obstetrics and Gynecology, Vestfold Central Hospital, Tønsberg, Norway.
Acta Obstet Gynecol Scand. 1989;68(5):453-5. doi: 10.3109/00016348909021020.
In a prospective randomized study comprising 90 women undergoing vaginal plastic surgery, suprapubic and transurethral catheter drainage of the bladder were compared regarding urinary tract infection and asymptomatic bacteriuria. No statistically significant differences were found. The mean duration of catheterization was 4.9 days for suprapubic vs 3.3 days for transurethral catheter patients. Postoperative urinary tract infection was diagnosed in 23.7% of patients with suprapubic and in 27.5% of patients with transurethral catheters. Asymptomatic bacteriuria at catheter removal was found in 21.0% of suprapubic and in 12.5% of transurethral catheter patients. More mechanical complications were seen with SPCs than with TUCs. It is concluded that the two methods involve similar risks of infectious complications but that SPCs have a higher rate of mechanical complications.
在一项纳入90名接受阴道整形手术女性的前瞻性随机研究中，比较了耻骨上膀胱造瘘和经尿道导尿管膀胱引流在尿路感染和无症状菌尿方面的情况。未发现统计学上的显著差异。耻骨上膀胱造瘘患者的平均导尿时间为4.9天，经尿道导尿管患者为3.3天。耻骨上膀胱造瘘患者术后尿路感染的诊断率为23.7%，经尿道导尿管患者为27.5%。拔除导尿管时，耻骨上膀胱造瘘患者无症状菌尿的发生率为21.0%，经尿道导尿管患者为12.5%。耻骨上膀胱造瘘的机械并发症比经尿道导尿管更多。结论是，两种方法的感染并发症风险相似，但耻骨上膀胱造瘘的机械并发症发生率更高。
