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目的比较微创膀胱造瘘术与耻骨上膀胱造瘘术治疗急性尿潴留的临床疗效。方法选取2015年2月—2016年2月临潼94162部队79分队收治的急性尿潴留患者88例,根据治疗方案不同分为对照组30例和研究组58例。对照组行耻骨上膀胱造瘘术治疗,研究组行微创膀胱造瘘术治疗,比较两组手术时间、术中出血量、瘘口愈合时间、拔管时间及住院时间。结果研究组手术时间短于对照组,术中出血量少于对照组,拔管时间、瘘口愈合时间及住院时间短于对照组,差异有统计学意义(P<0.05)。结论微创膀胱造瘘术治疗急性尿潴留的疗效优于耻骨上膀胱造瘘术,其具有操作简便、创伤小、出血量少、恢复快等优点。
Objective To compare the clinical effects of minimally invasive cystostomy and suprapubic cystostomy in the treatment of acute urinary retention. Methods Eighty-eight patients with acute urinary retention who were treated by Unit 79 of Lintong 94162 from February 2015 to February 2016 were selected and divided into control group (n = 30) and study group (n = 58) according to different treatment regimens. The control group received suprapubic cystostomy. The study group was treated with minimally invasive cystostomy. The operation time, intraoperative blood loss, fistula healing time, extubation time and hospital stay were compared. Results The operation time of the study group was shorter than that of the control group, and the amount of bleeding during operation was less than that of the control group. The extubation time, healing time of fistula and hospital stay were shorter than those of the control group (P <0.05). Conclusion The curative effect of minimally invasive bladder ostomy for acute urinary retention is superior to that of suprapubic cystostomy. It has many advantages such as simple operation, less trauma, less blood loss and faster recovery.