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目的 探讨降低神经源性大小便失禁围手术期并发症、提高疗效的有效措施。方法 回顾性分析96例接受手术治疗的神经源性大小便失禁患者围手术期主要并发症 ,逐一分析其发生原因。结果 全组无手术死亡 ,术后并发症分别为 :会阴部髂腰肌附着部切口感染 18例 ,膀胱瘘 4例 ,泌尿系感染 2例。术后随访大便失禁 ,评价结果 :分别是 4分钟者 2 8例 ,3分者 37例 ,2分者 2 3例 ,1分、0分者各 4例 ;小便失禁评价结果分别是 :排尿间隔 30min以上者 5 8例 ,尿淋离次数减少者 30例 ,无改善 8例。结论 降低神经源性大小便失禁围手术期并发症的关键在于综合处理 ,并发症的降低有利于提高远期疗效。
Objective To investigate the perioperative complications of neurogenic incontinence and improve the curative effect. Methods The main perioperative complications of 96 patients with neurogenic incontinence undergoing surgery were retrospectively analyzed. The causes of each major complication were analyzed retrospectively. Results There was no operative death in all the cases. The postoperative complications were as follows: 18 cases of infection in iliopsoas of the perineum, 4 cases of bladder fistula and 2 cases of urinary tract infection. The patients were followed up for fecal incontinence. The evaluation results were as follows: 28 cases for 4 minutes, 37 cases for 3 cases, 23 cases for 2 cases, 4 cases for 1 case and 0 case; urinary incontinence evaluation results were: voiding interval There were 58 cases with more than 30 minutes, 30 cases with less urination and no improvement in 8 cases. Conclusions The key to reduce the perioperative complications of neurogenic incontinence is comprehensive treatment. The reduction of complications is beneficial to improve the long-term curative effect.