目的 探讨膀胱造瘘法导尿在宫颈癌根治术中的应用价值.方法 214例宫颈癌根治手术患者,分别采取膀胱造瘘法(膀胱造瘘组)导尿40例和经尿道留置尿管法(尿管组)导尿174例,观察两组的手术时间、术中出血、手术并发症、术后重插尿管次数以及术后2周泌尿系统感染发生几率.结果 两组患者手术时间、术中出血及手术并发症比较差异无统计学意义;膀胱造瘘组重插尿管比例2.50%(1/40),尿管组为22.99%(40/174),尿管组重插尿管比例明显增高,差是有统计学意义;膀胱造瘘组术后两周泌尿系统感染发生率岁5.00%(2/40),尿管组为26.44%(46/174),两组比较差异有统计学意义.结论 膀胱造瘘法导尿简便易行,患者无不适感,行动方便,不增加手术时间、出血量、手术并发症,能够避免因反复重插尿管带给患者的痛苦,并减少泌尿系统感染的发生,值得在宫颈癌根治手术中使用和推广.%OBJECTIVE To investigate the value of bladder fistulization in radical surgery for cervical cancer. METHODS 214 patients with radical surgery for cervical cancer were included and randomly placed in two groups. Bladder listulization was carried out on 40 patients, while catheter catheterization was carrtied out on other 174 patients. Evalue the time, the amout of bleedlng,the complications of opration, times of repeat catheter inserted and the infection rate of urinary system. RESULTS No significant differrences were found in the time, the amout of bleeding,the complications of opreation between the two groups. The rate of repeat catheter inserted and infection rate of urinary system were significantly higher in the catheter catheterization group than that in the bladder fistulization group. CONCLUSIONS Bladder fistulization is easy to carry out. Further more, it can reduce the opportunity of repeat catheter insert an d theinfection rate of uninary system. Bladder fistulization deserves to be promoted in radical surgery for cervical cancer.
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