电邮这篇文章 腹腔镜下耻骨上膀胱造口术治疗腹膜内膀胱破裂的特点
- 作者: Shanava G.S.1,2, Soroka I.V.1, Mosoyan M.S.2,3
-
隶属关系:
- I.I. Dzhanelidze St. Petersburg Research Institute of Emergency Medicine
- Almazov National Medical Research Centre
- Academician I.P. Pavlov First Saint Petersburg State Medical University
- 期: 卷 11, 编号 1 (2021)
- 页面: 33-38
- 栏目: Original articles
- URL: https://journal-vniispk.ru/uroved/article/view/62109
- DOI: https://doi.org/10.17816/uroved62109
- ID: 62109
如何引用文章
开放存取
##reader.subscriptionAccessGranted##
订阅存取
详细
绪论在闭合性腹膜内型膀胱破裂，腹腔镜是一种替代剖腹手术。用内窥镜缝线缝合裂口，用尿道导尿管引流膀胱。在文献中，对于腹腔镜下治疗需要长期引流的腹膜内膀胱破裂患者，如何采用套管法膀胱造瘘术的问题没有得到充分的论述。
目的：探讨腹腔镜下套管法膀胱造瘘术治疗腹膜内膀胱破裂的最佳方法。
材料与方法。对8例腹腔内膀胱破裂患者行套管法膀胱造瘘术，其中7例伴有前列腺疾病，1例伴有尿道狭窄。腹腔镜手术中采用三种不同的方法行套管法膀胱造瘘术。
结果。第一种方法是先缝合膀胱破裂处。然后通过尿道导管将膀胱注满生理盐水。然后通过耻骨采用套管法膀胱造瘘术。第二种方法是在膀胱破裂缝合前，在腹腔镜的控制下采用套管法膀胱造瘘术。在我们提出的第三种方法（专利号为2592023）中，通过腹腔镜端口将容量至少为200 ml的Foley型导管插入腹腔。通过腹腔内破裂，一根来自腹部的导管被插入膀胱。在膀胱内，导管气囊内注入了生理盐水。然后，通过耻骨，用套管针分层穿刺前腹壁、膀胱和导管膨胀的气囊。另一根导管沿套管针插入膀胱。用破裂的球囊取出导管后，缝合腹腔内破裂的膀胱。
结论。根据研究结果，第三种采用套管法膀胱造瘘术的方法是最优和安全的。
作者简介
Gocha Shanava
I.I. Dzhanelidze St. Petersburg Research Institute of Emergency Medicine; Almazov National Medical Research Centre
编辑信件的主要联系方式.
Email: dr.shanavag@mail.ru
Cand. Sci. (Med.)
俄罗斯联邦, Saint-Petersburg; Saint-PetersburgIgor Soroka
I.I. Dzhanelidze St. Petersburg Research Institute of Emergency Medicine
Email: drsoroc@rambler.ru
Cand. Sci. (Med.)
俄罗斯联邦, Saint-PetersburgMichail Mosoyan
Almazov National Medical Research Centre; Academician I.P. Pavlov First Saint Petersburg State Medical University
Email: moso3@yandex.ru
SPIN 代码: 5716-9089
Scopus 作者 ID: 57041359200
Dr. Sci. (Med.)
俄罗斯联邦, Saint-Petersburg; Saint-Petersburg参考
- Marchand TD, Cuadra RH, Ricchiuti DJ. Laparoscopic repair of a traumatic bladder rupture. JSLS. 2012;16(1):155–158. doi: 10.4293/108680812X13291597716546
- Muneer M, Abdelrahman H, El-Menyar A, et al. Spontaneous Atraumatic Urinary Bladder Rupture Secondary to Alcohol Intoxication: A Case Report and Review of Literature. Am J Case Rep. 2015;16:778–781. doi: 10.12659/ajcr.894992
- Kim B, Roberts M. Laparoscopic repair of traumatic intraperitoneal bladder rupture: Case report and review of the literature. Can Urol Assoc J. 2012;6(6):E270–273. doi: 10.5489/cuaj. 11237
- Palthe S, Dijkstra GA, Steffens MG. A case of spontaneous urinary bladder rupture secondary to urinary retention due to an urethral stricture. Urol Case Rep. 2018;17:85–87. doi: 10.1016/j.eucr.2018.01.009
- Zhang X, Zhang G, Zhang L, et al. Spontaneous rupture of the urinary bladder caused by eosinophilic cystitis in a male after binge drinking: A case report. Medicine (Baltimore). 2017;96(51):e9170. doi: 10.1097/MD.0000000000009170
- Elkbuli A, Ehrhardt JD, Hai S, et al. Management of blunt intraperitoneal bladder rupture: Case report and literature review. Int J Surg Case Rep. 2019;55:160–163. doi: 10.1016/j.ijscr.2019.01.038
- Davidov MI, Gerner AO, Nikonova OE. An algorithm for diagnostics and treatment of intraperitoneal rupture of the bladder. Experimental and Clinical Urology. 2016(4):116–121 (In Russ.)
- May F, Schlenker B, Hofer B, et al. Laparoscopic repair of iatrogenic bladder perforation during transurethral bladder tumor resection: Case report and literature review. Indian J Urol. 2013;29(1): 61–63. doi: 10.4103/0970–1591.109988
- Suffee M, Barrat C, Vons C, et al. Laparoscopic repair of intraperitoneal bladder perforation due to indwelling urethral catheter. J Surg Case Rep. 2012;2012(2):10. doi: 10.1093/jscr/2012.2.10
- Gerner AO, Busyrev YuB, Davidov MI, Nikonova OE. Intracorporeal manual suture on the bladder for traumatic rupture. Endoscopic Surgery. 2016;22(6):19–22. (In Russ.) doi: 10.17116/endoskop201622619-22
- Barnard J, Overholt T, Hajiran A, et al. Traumatic Bladder Ruptures: A Ten-Year Review at a Level 1 Trauma Center. Adv Urol. 2019;2019:2614586. doi: 10.1155/2019/2614586
补充文件
