对有或没有留置导尿管治疗的男性脊髓损伤患者泌尿系统并发症的回顾性分析。
Retrospective analysis of urologic complications in male patients with spinal cord injury managed with and without indwelling urinary catheters.
作者信息
Larsen L D, Chamberlin D A, Khonsari F, Ahlering T E
机构信息
Department of Urology, Long Beach Veterans Administration Medical Center, California, USA.
出版信息
Urology. 1997 Sep;50(3):418-22. doi: 10.1016/S0090-4295(97)00224-0.
OBJECTIVES
To compare, in a retrospective fashion, the long-term urologic complications in male patients with spinal cord injury managed with and without indwelling urinary catheters.
METHODS
The records of 142 consecutive male patients with traumatic spinal cord injuries sustained between 1975 and 1985 (inclusive) were reviewed. Fifty-six patients were managed with indwelling urinary catheters, and 86 were managed without an indwelling catheter. Urinary complications were recorded for each patient under the following general subheadings: renal, urinary tract infection, stones, urethral, and other.
RESULTS
In all, there were 95 complications in the noncatheterized group versus 202 in the catheterized group (P = 0.007). The catheterized group experienced significantly more problems with renal damage, recurrent urinary tract infection, stones, and urethral complications.
CONCLUSIONS
Our study shows that elimination of indwelling urinary catheters in patients with spinal cord injury will significantly reduce the incidence of urinary tract complications and lead to better preservation of renal function.
目的
以回顾性方式比较脊髓损伤男性患者留置导尿管与未留置导尿管情况下的长期泌尿系统并发症。
方法
回顾了1975年至1985年（含）期间连续收治的142例男性创伤性脊髓损伤患者的病历。56例患者采用留置导尿管治疗，86例患者未采用留置导尿管治疗。按照以下一般小标题记录每位患者的泌尿系统并发症：肾脏、尿路感染、结石、尿道及其他。
结果
非导尿管组共有95例并发症，导尿管组有202例（P = 0.007）。导尿管组在肾损伤、复发性尿路感染、结石和尿道并发症方面出现的问题明显更多。
结论
我们的研究表明，脊髓损伤患者去除留置导尿管将显著降低泌尿系统并发症的发生率，并有助于更好地保护肾功能。
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