摘要
目的探讨宫颈癌患者根治术后尿潴留的预防方法及效果。方法将80例宫颈癌患者随机分为实验组和对照组,各40例,实验组术中行膀胱剥离面荷包缝合,术后4d采用膀胱治疗仪低频电刺激治疗。对照组采用常规根治手术,术后开放尿管7d后关闭尿管2h～3h开放尿管排尿。两组患者术后5d开始膀胱功能锻炼,术后12d拔尿管测残余尿量,观察达标率,不达标者重置尿管直至达标,并观察留置尿管时间、发生尿潴留情况。结果两组患者12d达标率、留置尿管时间及发生尿潴留情况比较,差异均有统计学意义(P<0.05)。结论术中膀胱剥离面荷包缝合法配合术后膀胱治疗仪用于预防和治疗宫颈癌术后尿潴留效果满意。
Objective To evaluate the prevention method and effect on the patients with cervical cancer after undergoing radical operation. Methods Eighty patients with cervical cancer were divided randomly into two groups： experimental group and control group. In experimental group, bladder peeling purse string suture was performed during the operation, and four days after operation low frequency electric stimulation produced by bladder treatment apparatus was used on these patients. In control group, radical surgery was performed on the patients. Five clays after operation all patients began to do bladder function exercise. Seven days after operation urinary canal was pulled out and residual urine volume was tested. If the residual urine volume of the patients was not qualified, the urinary canal was set again till the residual urine volume was qualified. At the same time, the time length with urinary canal and the incidence of urine retention were observed. Results There were significant differences of the qualified incidenee of seven days after operation, the time length with urinary canal and the incidence of postoperative urine retention in experimental group and control group （ P 〈 0.05 ）. Conclusions Bladder peeling purse string suture during operation and the application of bladder treatment apparatus after operation were effective in preventing and treating the neopathy of postoperative urine retention on patients with cervical cancer.
出处
《医药论坛杂志》
2011年第11期58-60,共3页
Journal of Medical Forum
关键词
宫颈癌
尿潴留
膀胱剥离面荷包缝合
膀胱治疗仪
Cervical cancer
Postoperative urine retention
Bladder peeling purse string suture
Bladder treatment apparatus
