Amano T, Kawaguchi K, Misaki T, Hisazumi H
Hinyokika Kiyo. 1984 Apr;30(4):493-500.
To determine the effectiveness of non-sterile intermittent self-catheterization, a study was made of 35 patients who had radical surgery of the carcinoma of the uterus or rectum between January, 1978 and October, 1982. These cases were divided into 2 groups; (1) early instituted group of 27 patients who used self-catheterization within 3 months following surgical intervention; (2) late instituted group of 8 patients who received drug treatment for more than 3 months after surgical treatments and then used self-catheterization. After the introduction of self-catheterization, urinary tract infection was evaluated on the basis of the incidence of pyuria defined as more than 5 white blood cells per high magnification field. In 16 of the 35 patients, the incidence of pyuria ranged from 0 to 20 per cent. Regarding prognostic results in the first group the application of self-catheterization, 6 patients had a residual urine ratio ranging from 0 to 20 per cent and were able to void at will. Uroflometry was performed in 9 patients in the first group. In 8 of these patients, UP max values increased 3 months after self-catheterization as compared with those before self-catheterization although their values were still lower than normal. Non-sterile intermittent self-catheterization can shorten the stay in hospital and enable the patient to live a catheter-free life.
为了确定非无菌间歇性自我导尿的有效性，对1978年1月至1982年10月期间接受子宫或直肠癌根治手术的35例患者进行了一项研究。这些病例分为两组：（1）早期开始组，共27例患者，在手术干预后3个月内使用自我导尿；（2）晚期开始组，共8例患者，在手术治疗后接受药物治疗3个月以上，然后使用自我导尿。引入自我导尿后，根据每高倍视野白细胞超过5个定义的脓尿发生率来评估尿路感染情况。35例患者中有16例，脓尿发生率在0%至20%之间。关于第一组患者自我导尿的预后结果，6例患者残余尿量比率在0%至20%之间，能够自主排尿。第一组中有9例患者进行了尿流率测定。其中8例患者，自我导尿3个月后最大尿流率（UP max）值比自我导尿前有所增加，尽管其值仍低于正常水平。非无菌间歇性自我导尿可以缩短住院时间，并使患者能够过上无需导尿的生活。
