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对99例最初采用间歇性导尿治疗的脊髓损伤患者进行泌尿外科随访。

Urological follow-up of 99 spinal cord injured patients initially managed by intermittent catheterisation.

作者信息

Pearman J W

出版信息

Br J Urol. 1976 Oct;48(5):297-310. doi: 10.1111/j.1464-410x.1976.tb06639.x.

Abstract

99 spinal cord injured patients who were initially managed by intermittent catheterisation have been followed up for an average of 36 months (6 to 81 months) since their discharge from hospital. The urological results in this group of patients have been compared with those of 2 series in which indwelling catheters were used in the initial period. It appears that initial bladder management by intermittent catheterisation allows a higher percentage of patients to become catheter-free and gives a lower incidence of urological complications. The average incidence of re-infection of the urinary tracts and the condition of the upper tracts compares favourably with those reported after management by indwelling catheterisation.

摘要

99例最初采用间歇性导尿术治疗的脊髓损伤患者自出院后平均随访了36个月(6至81个月)。将该组患者的泌尿系统治疗结果与另外2组最初使用留置导尿管的患者进行了比较。结果显示,最初采用间歇性导尿术进行膀胱管理可使更高比例的患者无需使用导尿管,且泌尿系统并发症的发生率更低。与留置导尿管治疗后报告的结果相比,该组患者泌尿系统再次感染的平均发生率以及上尿路情况更优。

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