Trocar를 이용한 치골상부방광루조성술시 초음파 검사의 유용성
Efficacy of the Preliminary Ultrasonographic Examination before Suprapubic Cystostomy by Trocar
김재홍, 석봉철, 양승학,
소속 상세정보
김재홍 ( )
울산동강병원
석봉철 ( )
울산동강병원
양승학 ( )
울산동강병원
KMID : 0358319970380030295
Abstract
Suprapubic cystostomy by trocar is a simple, safe and useful method for urinary diversion in acute urinary retention. But rarely, severe complications occur during or after suprapubic cystostomy such as bowel perforation, through and through
perforation
of the bladder, rectal injury and severe hematuria. We studied the complications of suprapubic cystostomy retrospectively and compared 19 patients who performed ultrasonographic examination with 30 patients without ultrasonographic examination
were
initial failure in 4 cases (13.3%), extravesical Foley indwelling in 2 cases(6.7%), puncture site closed to the pubic bone in 2 cases(6.7%), spontaneous bladder rupture in 1 case (3.3%) and bowel injury in 1 case (3.3%). But, the complication in
19
patients with preliminary ultrasonographic examination was only 1 retried case(5.3%) because of extravesical Foley indwelling. As above results, the brief preliminary ultrasonographic examination of the bladder is a very useful method with
minimal
risk
during suprapubic cystostomy by trocar.
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