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[根治性子宫切除术后经腹腹膜外盆腔引流及耻骨上膀胱引流]

[Extraperitoneal transabdominal vacuum drainage of the parametrial cavity and suprapubic drainage of the urinary bladder after radical hysterectomy].

作者信息

Draca P, Jovićević V

出版信息

Jugosl Ginekol Perinatol. 1989 May-Aug;29(3-4):129-32.

PMID:2601366
Abstract

Parametral cavity drainage was performed by the Penrose method after Wertheim's operation. In 14.4% of the patients inflammations were observed. After the introduction of extraperitoneal transabdominal vacuum drainage, the percentage of such complications decreased to 5%. In the previously performed transurethral urinary bladder drainage, the authors found uroinfections in 42.6% of the operated patients, whereas following the suprapubic drainage, urine samples remained bacteriologically clear, with less than 100,000 germs per 1 ml. In only one patient with suprapubic drainage, salt accumulated on the catheter, requiring removal by means of surgery cystoscope.

摘要

在 Wertheim 手术后,采用 Penrose 法进行宫旁腔引流。14.4%的患者出现炎症。引入腹膜外经腹真空引流后,此类并发症的发生率降至 5%。在先前进行的经尿道膀胱引流中,作者发现 42.6%的手术患者发生尿路感染,而耻骨上引流后,尿液样本细菌学检查呈阴性,每毫升细菌数少于 100,000 个。仅 1 例耻骨上引流患者,导尿管上有盐类积聚,需通过手术膀胱镜予以清除。

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