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目的探讨耻骨上膀胱造瘘术在宫颈癌根治术中的应用。方法采用回顾性对比分析2007年2月～2007年6月浙江肿瘤医院在宫颈癌根治术中行耻骨上膀胱造瘘管和经尿道留置导尿管两种方法在宫颈癌患者根治术后出现的相关并发症以及膀胱功能恢复的影响。结果36例宫颈癌根治术患者采用耻骨上膀胱造瘘术,与留置导尿管组比较其膀胱功能恢复时间无明显差异(P>0.05),术后尿路感染率有明显下降(P<0.01),但存在术后出血、脱落、堵塞等并发症。结论在子宫颈癌根治术中应用耻骨上膀胱造瘘管安全可行,并在降低尿路感染率简化膀胱残余尿测定过程,减轻患者痛苦及医疗费用,优于留置导尿,如能改善出血、脱落、堵塞等并发症,将具有良好的使用价值。
Objective To investigate the application of suprapubic cystostomy in radical surgery of cervical cancer. Methods The retrospective comparative analysis of two methods from February 2007 to June 2007 in Zhejiang Cancer Hospital undergoing radical hysterectomy of cervical cancer with suprapubic cystostomy tube and transurethral indwelling catheter were performed in patients with cervical cancer after radical resection Symptoms and bladder function recovery. Results 36 patients underwent radical suprapubic cystostomy, there was no significant difference (P> 0.05) in bladder functional recovery time compared with indwelling catheter group, and the urinary tract infection rate was significantly decreased after operation (P <0.01) ), But there are postoperative bleeding, loss, blockage and other complications. Conclusions The application of suprapubic cystostomy in the radical operation of cervical cancer is safe and feasible. It can reduce the rate of urinary tract infection, simplify the determination of bladder residual urine, reduce the pain and medical costs of patients, and is better than indwelling catheterization, such as bleeding, shedding , Blockage and other complications, will have good use value.