采用耻骨上留置导尿法管理脊髓损伤患者。
Management of spinal cord injured patients by indwelling suprapubic catheterization.
作者信息
MacDiarmid S A, Arnold E P, Palmer N B, Anthony A
机构信息
Department of Urology, Christchurch Spinal Injuries Unit, New Zealand.
出版信息
J Urol. 1995 Aug;154(2 Pt 1):492-4. doi: 10.1097/00005392-199508000-00042.
PURPOSE
We review the urological complications in spinal cord injury patients treated with suprapubic catheterization.
MATERIALS AND METHODS
Suprapubic catheterization was used in 44 spinal cord injury patients. Followup ranged from 12 to 150 months (mean 58). The catheters were irrigated weekly and changed every 2 weeks. Patients were followed annually with urodynamic studies and ultrasound.
RESULTS
No patient had renal deterioration, vesicoureteral reflux or bladder carcinoma. The incidences of incontinence, urinary tract infections and calculi were acceptable.
CONCLUSIONS
Suprapubic catheterization is an effective and safe alternative form of bladder management in select patients with spinal cord injury.
目的
我们回顾了接受耻骨上膀胱造瘘术治疗的脊髓损伤患者的泌尿系统并发症。
材料与方法
44例脊髓损伤患者接受了耻骨上膀胱造瘘术。随访时间为12至150个月（平均58个月）。每周对导尿管进行冲洗，每2周更换一次。每年对患者进行尿动力学研究和超声检查。
结果
无患者出现肾功能恶化、膀胱输尿管反流或膀胱癌。尿失禁、尿路感染和结石的发生率是可以接受的。
结论
对于部分脊髓损伤患者，耻骨上膀胱造瘘术是一种有效且安全的膀胱管理替代方式。
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