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目的:探讨尿道下裂术后3种不同尿液引流方式的临床护理与效果。方法:对2001年3月至2012年12月期间收治的595例接受一期尿道下裂成形术治疗患者的资料进行回顾性分析。其中A组患者(133例)采用“耻骨上膀胱造瘘法”引流;B组患者(202例)采用“尿道内留置支架管法”引流,C组患者(260例)采用“尿道支架管早期自主排尿法”。3组患者均按尿道下裂术后常规护理。结果:3组595例患者均顺利完成手术治疗,术后通过接受不同的尿液引流方式及其相关护理,A、B两组患者的住院时间以及尿瘘与尿道狭窄发生率比较均无统计学意义(P>0.05);C组的住院时间以及尿瘘与尿道狭窄发生率显著少于(低于)A、B两组,C组与A、B两组比较均有统计学意义(P<0.05)。结论:尿道下裂术后采用尿道支架管早期自主排尿法,不仅可显著减少术后尿瘘及尿道狭窄的发生,而且缩短住院日,也在一定程度上减轻护理难度,减少护理工作量,提高患者满意率,值得临床推广应用。
Objective: To investigate the clinical nursing and effect of three different urinary drainage methods after hypospadias. Methods: The data of 595 patients who underwent primary hypospadias were retrospectively analyzed from March 2001 to December 2012. The patients in group A (133 cases) were treated with “suprapubic cystostomy ” drainage. The patients in group B (202 cases) were treated with “urethral stent placement ” drainage method. “Ureteral stent early self-urination method.” All 3 patients were treated by routine nursing after hypospadias. Results: All 595 patients in 3 groups were successfully treated. After receiving different methods of urinary drainage and related nursing, the length of hospital stay and the incidence of urinary fistula and urethral stricture in both A and B groups were not statistically significant (P> 0.05). The hospitalization time and the incidence of urinary fistula and urethral stricture in group C were significantly less than those in groups A and B (P <0.05) . Conclusion: The urethral stent-tube early self-urination method after hypospadias operation not only can significantly reduce the occurrence of postoperative urinary fistula and urethral stricture, but also shorten the hospitalization day, and also alleviate the difficulty of nursing to a certain extent, reduce the nursing workload and improve the patients Satisfaction rate, it is worth to promote clinical application.