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女性患者非放气式球囊导管移除技术。

A technique for non-deflating balloon catheter removal in female patients.

作者信息

Giovannopoulou Eirini, Chondros Kostas

机构信息

University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece.

Department of Urology, General Hospital of Rethymnon, Rethymnon, Greece.

出版信息

Pan Afr Med J. 2017 Apr 24;26:222. doi: 10.11604/pamj.2017.26.222.12291. eCollection 2017.

DOI:10.11604/pamj.2017.26.222.12291
PMID:28690736
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5491744/
Abstract

Removing a foley catheter can sometimes be a challenge, especially when it is related to non-deflating balloons which represent most of the cases. In female patients, due to their urethral anatomy, several techniques have been proposed for balloon puncture when other maneuvers have failed. We present a simple technique for non-deflating balloon catheter removal in an old female patient with a permanent indwelling foley catheter which required no anesthesia. The balloon was effectively punctured with minimal patient's discomfort. In addition, this technique was tested in several ex-vivo model catheters and found to be safe and effective. Our technique can be used for non-deflating balloon puncture in female patients in an outpatient setting without anesthesia.

摘要

拔除 Foley 导尿管有时颇具挑战性,尤其是当问题出在球囊无法放气时,这种情况占了大多数。在女性患者中,由于其尿道解剖结构的特点,当其他操作失败时,已提出了多种球囊穿刺技术。我们介绍一种针对长期留置 Foley 导尿管的老年女性患者的简单技术,用于拔除球囊无法放气的导尿管,该技术无需麻醉。球囊被有效穿刺,患者不适感降至最低。此外,该技术在多个离体模型导尿管上进行了测试,结果表明安全有效。我们的技术可用于门诊环境下无需麻醉的女性患者球囊穿刺。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3efa/5491744/25bfa73c7f57/PAMJ-26-222-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3efa/5491744/9de99b98dfca/PAMJ-26-222-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3efa/5491744/b7b779999b1c/PAMJ-26-222-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3efa/5491744/25bfa73c7f57/PAMJ-26-222-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3efa/5491744/9de99b98dfca/PAMJ-26-222-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3efa/5491744/b7b779999b1c/PAMJ-26-222-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3efa/5491744/25bfa73c7f57/PAMJ-26-222-g003.jpg

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本文引用的文献

1
Review of techniques to remove a Foley catheter when the balloon does not deflate.当 Foley 导尿管球囊无法放气时移除该导尿管的技术综述
Urology. 2002 Jan;59(1):127-9. doi: 10.1016/s0090-4295(01)01483-2.
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Managing the nondeflating urethral catheter.处理不回缩型尿道导管。
J Am Board Fam Pract. 2000 Mar-Apr;13(2):116-9. doi: 10.3122/15572625-13-2-116.
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Deflation techniques for faulty Foley catheter balloons: presentation of a cystoscopic technique.故障 Foley 导尿管球囊的放气技术:一种膀胱镜技术的介绍
Tech Urol. 1996 Fall;2(3):174-7.
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Problems of indwelling Foley catheters.留置导尿管的问题。
East Afr Med J. 1994 Feb;71(2):132-4.
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An alternative to manage a nondeflating Foley catheter in women.
J Urol. 1995 Mar;153(3 Pt 1):716-7. doi: 10.1097/00005392-199503000-00048.
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The non-deflating Foley catheter.
Br J Clin Pract. 1990 Nov;44(11):438-40.