首页|超滑介入导丝配合膀胱镜外鞘及常规导尿管在男性导尿术失败后的应用效果分析

超滑介入导丝配合膀胱镜外鞘及常规导尿管在男性导尿术失败后的应用效果分析

Application Effect Analysis of Superslip Interventional Guide Wire Combined with Outer Sheath of Cystoscope and Conventional Catheter After Failure of Male Catheterization

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目的:分析在男性导尿术失败后采取超滑介入导丝配合膀胱镜外鞘及常规导尿管的应用价值.方法:将2021年6月~2023年6月本院收治的导尿术失败男性患者80例作为本次观察对象,以随机数字表法分组,观察组40例采取超滑介入导丝配合膀胱镜外鞘及常规导尿管治疗,对照组40例采取传统导尿治疗;比较两组导尿成功率、并发症发生率(出血、旁道形成、尿道假道)、残余尿量、手术时间与导尿时间;分析治疗前后患者排尿功能(尿道闭合压、膀胱顺应性、膀胱逼尿肌收缩力).结果:观察组治疗后残余尿量低于对照组,手术时间与导尿时间短于对照组,对比有统计学意义(P<0.05);观察组治疗后导尿成功率高于对照组,并发症发生率低于对照组,对比有统计学意义(P<0.05);观察组治疗前与对照组排尿功能对比可见差异无统计学意义(P>0.05),治疗后,观察组排尿功能高于对照组,对比有统计学意义(P<0.05).结论:超滑介入导丝配合膀胱镜外鞘及常规导尿管治疗可提高导尿成功率,减少操作时间,有助于促进排尿功能恢复,较常规手术治疗并发症发生率更低,效果明显.
Objective:To analyze the application value of superslip interventional guide wire combined with cystoscope sheath and conventional catheter after male catheterization failure.Methods:80 male patients with failed urethral catheterization admitted to our hospital from June 2021 to June 2023 were selected as the subjects of this study.They were divided into groups by random method(number table method).40 cases in the observation group were treated with superslip intervention wire,cystoscope sheath and conventional urethral catheter,and 40 cases in the control group were treated with traditional urethral catheterization.The success rate of catheterization,complication rate(bleeding,bypass formation,urethral bypass),residual urine volume,operation time and catheterization time were compared between the two groups.Urinary function(urethral closure pressure,bladder compliance,detrusor contractility)was analyzed before and after treatment.Results:The residual urine volume of the observation group was lower than that of the control group after treatment,and the operation time and catheterization time were shorter than that of the control group,with statistical significance(P<0.05).The success rate of urinary catheterization in the observation group was higher than that in the control group,and the incidence of complications was lower,with statistical significance(P<0.05).There was no significant difference in the urination function between the observation group and the control group before treatment(P>0.05).After treatment,the urination function of the observation group was higher than that of the control group(P<0.05),and the comparison was statistically significant(P<0.05).Conclusion:Superslip interventional guide wire combined with cystoscope sheath and conventional catheter can improve the success rate of catheterization,reduce operation time,and promote the recovery of urination function.Compared with conventional surgery,the incidence of complications is lower,and the effect is obvious.

superslip insertion guide wirecystoscope outer sheathconventional cathetercatheterization failed

傅江

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上杭县医院 (福建 龙岩 364200)

超滑介入导丝 膀胱镜外鞘 常规导尿管 导尿术失败

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(17)