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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。
Objective: To explore a simple, safe and efficient suprapubic bladder puncture method of clinical value. Methods: CYF240A electronic soft cystoscope manufactured by Japan OLYMPUS Company was used to monitor the cyst puncture under local anesthesia in the middle of the suprapubic midline suprapubic. The catheter was inserted into the bladder with a guide cannula, Urine, balloon after pulling out the core needle water injection. Results: The success rate of 24 cases with bladder stoma was 100%. Among them, 2 cases had light red hematuria after 1 ~ 2 days and were cured by balloon pressure after double-lumen Foley catheterization. No puncture inaccurate into the abdominal cavity and intestinal fistula, hematoma, urinary extravasation, open surgical ostomy, fistula off, bladder irritation, infection and other complications. Conclusion: The method is safe, quick and easy to operate with definite positive effect of irrigation and drainage and few complications.