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耻骨上膀胱造瘘术在尿潴留中的作用。

Role of suprapubic catheterization in retention of urine.

作者信息

Abrams P H, Shah P J, Gaches C G, Ashken M H, Green N A

出版信息

J R Soc Med. 1980 Dec;73(12):845-8. doi: 10.1177/014107688007301205.

Abstract

One hundred and nine male patients took part in a randomized trial of elective suprapubic or urethral catheterization in retention of urine. The self-retaining trocar suprapubic catheter proved safe and reliable in trained hands and its use was associated with a low incidence of side effects. The suprapubic catheter when used to allow continuous flow resection appeared to lead to decreased blood loss and reduced resection time. No decrease in urinary infection rate over the period of hospital stay was noted in the suprapubic group. The suprapubic catheter was more comfortable than the urethral and also allowed a trial of voiding prior to removal. Use of the suprapubic catheter was not associated with an increased hospital stay.

摘要

109名男性患者参与了一项关于因尿潴留而进行选择性耻骨上或尿道插管的随机试验。在技术熟练者手中,自固定套管针耻骨上导管被证明是安全可靠的,并且其使用所带来的副作用发生率较低。当耻骨上导管用于连续膀胱冲洗时,似乎能减少失血并缩短冲洗时间。耻骨上导管组在住院期间未观察到尿路感染率下降。耻骨上导管比尿道导管更舒适,并且在拔除前还能尝试排尿。使用耻骨上导管与住院时间延长无关。

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