电子软膀胱镜监视下耻骨上膀胱穿刺造口术的临床价值研究

目的:探讨一种简单、安全、高效的耻骨上膀胱穿刺造口方法的临床价值。方法:采用日本OLYMPUS公司生产的CYF240A型电子软性膀胱镜监视下于下腹正中耻骨上二横指处局麻下行膀胱穿刺造口,用内置导芯套管针穿刺入膀胱后置入带气囊导尿管,气囊注水后拔出导芯针。结果:用该法膀胱造口24例一次成功率100%,其中2例术后1～2天有淡红色血尿,经双腔Foley尿管外牵,气囊压迫后治愈。无穿刺误入腹腔及肠瘘、血肿、尿外渗、改开放性手术造口、造瘘管脱落、膀胱刺激症状、感染等并发症。结论:该方法安全快捷,操作简单,冲洗与引流效果肯定,并发症少。

The study of clinic value of the flexible cystoscope guided paracentetic suprapiblic cystostomy

Objective:To investigate the value of the flexible cystoscope guided paracentetic suprapiblic cystostomy. Methods:The flexible cystoscope guided paracentetic suprapiblic cystostomy was operated in local anesthesia in 24 cases.Results:All patients successfully undergo paracentetic suprapubic cystostomy only once. There were no complications including abdominal cavity injur, hemorrhage and hematoma, urecchysis, transform operating fistulization, drainage tube caming off, irritation sign of bladder and infection.Conclusions:An exact and safe paracentetic suprapiblic cystostomy is achieved by the flexible cystoscope guided paracentetic suprapiblic cystostomy.