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目的探讨3种不同膀胱冲洗方法对经尿道前列腺切除术后保持尿管引流通畅的效果观察。方法收集2003年10月至2009年10月在我科行经尿道前列腺切除术患者90例,随机分为A、B、C3组各30例。A组使用间歇冲洗法;B组使用持续冲洗法:C组使用持续冲洗+手动冲洗法。3组膀胱冲洗液均使用等渗生理盐水。患者术后均需留置22号FOLEY硅胶三腔导尿管。对3组尿管引流液澄清程度、血块堵塞尿管、膀胱痉挛等方面的比较。结果 3组患者在尿管引流液澄清程度、尿管堵塞、膀胱痉挛等方面的比较,差异有统计学意义(P<0.05);C组保持尿管引流通畅效果明显,无血块堵塞尿管,亦无膀胱痉挛发生。结论单一使用持续或间歇膀胱冲洗方法易引起血块堵塞尿管及发生膀胱痉挛,而持续冲洗+手动冲洗方法联合应用,能有效解除血块引起的尿管堵塞,利于保持尿管引流通畅。
Objective To investigate the effect of three different bladder irrigation methods on maintaining drainage of the ureter after transurethral resection of the prostate. Methods Totally 90 patients who underwent transurethral resection of prostatectomy from October 2003 to October 2009 were randomly divided into A, B and C3 groups, 30 cases each. Group A used intermittent irrigation method; Group B used continuous irrigation method: Group C used continuous irrigation + manual irrigation method. Three groups of bladder irrigation fluid were used isotonic saline. Patients need to be placed on the 22th FOLEY silicone three-chamber catheter. The degree of clarification of the three groups of catheter drainage, clogging the blood clots, bladder spasms and other aspects of the comparison. Results There was significant difference between the three groups in the degree of clarification of ureteral drainage, occlusion of the catheter and bladder spasm (P <0.05). In the C group, the drainage of the catheter was clear, No cystospasm occurred. Conclusions Single use of continuous or intermittent bladder irrigation method easily lead to blockage of the blood clots and bladder catheterization, and continuous flushing + manual flushing method combined with the effective removal of clogged clots caused by blood clots, which will help maintain the drainage of the catheter patency.