解除尿管气囊对前列腺电切术后患者血凝块堵塞尿管的影响.doc

解除尿管气囊对前列腺电切术后患者血凝块堵塞尿管的影响 现代医院2011年6月第11卷第6期专业技术篇ModemHospitalJun2011Vol11No6 解除尿管气囊对前列腺电切 的影响 方碧蕊梁洁平张小梅 /一… 一连理爻恭 l一…………一 术后患者血凝块堵塞尿管 THEEFFECTOFBLADDERlRRlGATlONAFTERUNCHAINlNGURETERBALLONETONU. RETERBEINGJAMMEDBYCLOTINPATIENTSAFTERELECTRO—PROS.『ECTOMY FANGBirui,LIANGJieping,ZHANGXiaomei 【摘要】目的探讨解除尿管气囊后冲洗器冲洗在血凝块堵塞尿管患者中的应用效果.方法对56 例施行经尿道前列腺电切术的良性前列腺增生患者随机分为观察组和对照组,观察组采用解除尿管气囊后固 定好再冲洗器抽吸28—32℃生理盐水进行血凝块堵塞尿管加压冲洗,对照组进行冲洗器抽吸28～32℃生理 盐水直接套入三腔导尿管接口进行冲洗.结果观察组患者术后血凝块堵塞尿管恢复通畅率高于对照组,差 异有统计学意义(Plt;0.05).结论经尿道前列腺电切术后出现血凝块堵塞尿管采用先解除尿管气囊后固 定好再用冲洗器抽吸28—32℃生理盐水进行加压冲洗,能及时恢复尿管通畅,有效减轻患者的痛苦,减少膀 胱痉挛的发生.且节约医疗和劳动力成本. 【关键词】经尿道前列腺电切术尿管气囊血凝块堵塞冲洗液 【Abstract】ObjectiveToinvestigatetheeffectofbladderirrigationafterunchainingureterballonetonureter beingjammedbyclotinpatientsafterelectro—prostatectomy.Methods56patientswithbenignprostatichyperplasia (BPH)aftertreatedwithperurethraelectro—prostatectomywererandomlydividedintotwogroups.Thepatientsin thecontrolgroupweremanagedbybladderirrigationatroomtemperatureinroutinemethod;Bladderirrigationwith douchewarmedinawarmerbetween28～32℃.wasmanagedafterunchainingandholdingureterballonetinthe treatmentgroup.ResultsTherateofcleaninguptheclotsjammingureterinthetreatmentgroupwassignificantly higherthanthatinthecontrolgroup(plt;0.05).ConclusionForpatientswithbenignprostatichyperplasia(BPH) aftertreatedwithperurethraelectro—prostatectomy,bladderirrigationwithdouchewarmedinawarmerbetween28— 32oCafterunchainingandholdingureterballonetcaneffectivelycleanupclotsjammingtheureter,reducethepains, cystospasm,andthecostofmedicalandlabor. 【Keywords】Perurethraelectro—prostatecomy,Ureterballonet,Clot,Jam,Douche 【AuthorSaddress】UrologicalSurgeryDepartment,KaipingCentralHospital,KaipingCity,Guangdong Province529300PRC doi:10.3969/j.issn.1671—332X.2011.06.039 随着社会逐步进入老龄化,前列腺增生患者数量不断增 多.医疗技术,器械的不断改进和提高,经尿道前列腺汽化 电切手术(TURP术)已是泌尿外科治疗良性前列腺增生的 常规手段.TURP术后,需停留22—24号三腔导尿管进 行持续膀胱冲洗,在冲洗的过程中常因血凝块堵塞三腔导尿 管,而引流不畅,引起患者小腹胀痛,膀胱痉挛,尿道口溢水, 基金项目:江门市卫生科研项目(编号10A037) 方碧蕊梁洁平张小梅:开平市中心医院广东开平529300 溢尿现象.