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常规耻骨上膀胱造瘘术时,为了下次手术便于推移腹膜,常行膀胱悬吊。但膀胱悬吊使膀胱上提,造瘘管接近垂直伸出体表,拔管后瘘道不易闭合,常出现漏尿。我科自1996年6月~1999年7月间,采用斜行置管耻骨上膀胱造瘘术,能有效防止拔管后漏尿,效果满意。现报告如下。 1 临床资料 1.1 一般资料:本组87例,男83例,女4例,年龄21~73岁,平均年龄47.8岁。其中急性尿潴留7例,经耻骨上前列腺切除术68例,膀胱切开取石术4例,尿道损伤5例,尿道会师术3例。所有病
Conventional suprapubic cystostomy, in order to facilitate the next surgery to facilitate the peritoneum, bladder hanging often. However, the bladder suspension to lift the bladder, fistula near vertical extension of the body surface, after extubation fistula is not easy to close, often leakage. Our department from June 1996 ~ July 1999, the use of oblique catheter suprapubic cystostomy, can effectively prevent leakage after extubation, the effect is satisfactory. The report is as follows. 1 Clinical data 1.1 General Information: The group of 87 patients, 83 males and 4 females, aged 21 to 73 years, with an average age of 47.8 years. Among them, there were 7 cases of acute urinary retention, 68 cases of suprapubic prostatectomy, 4 cases of cystectomy, 5 cases of urethral injury and 3 cases of urethra division. All sick