Continuous Suction for Treating Extraperitoneal Rupture of the Bladder Complicated with Persistent Urinary Extravasation

連續低壓抽吸用以治療腹膜外膀胱破裂合併持續性尿液外滲

傳延宗(Yen-Tsung Fu) ； 李祥生(Shang-Sen Lee) ； 張聖原(Sun-Yran Chang) ； 劉煥昀(Huan-Yun Liu) ； 孫光煥(Guang-Huan Sun)

《臺灣泌尿科醫學會雜誌》 18卷1期 (2007/03) Pp. 36-38

摘要

主題：傳統上，腹膜外膀胱破裂只要用導尿管引流就可以得到效果。但是，對於接受慣例的療法後，仍然有尿液外滲的複雜性膀胱破裂的病人，一直都是泌尿科醫師的棘手問題。我們嘗試著去找到替代方法來解決這個難題。
病例和方法：在1990年到2004年之間，共有4位複雜性膀胱破裂的病人，在接受慣例的導尿管引流療法後，仍然有尿液外滲，我們將他們的導尿管接上低壓力(-15 cm H2O)的連續抽吸器14天。
結果：這4位複雜性膀胱破裂的病人，在接受低壓力的連續抽吸14天後，都成功解決了尿液外滲的問題。
結論：藉由我們有限的經驗，這個低壓力連續抽吸14天的方法，可以做為解決複雜性膀胱破裂病人，在接受傳統方法的治療後，仍然有尿液外滲難題的替代治療。

關鍵字

連續低壓抽吸 ； 腹膜外膀胱破裂 ； 尿液外滲

並列摘要

OBJECTIVES: Traditionally, extraperitoneal rupture of the bladder is treated with catheter drainage only. However, it is always a challenge to treat patients with urinary extravasation after conventional management for a complicated bladder rupture. We attempted to find an alternative way to resolve this problem.
MATERIALS AND METHODS: Between 1990 and 2004, 4 patients sustained urinary extravasation after a complicated bladder rupture and conventional management. The urinary catheter had been connected to a continuous lowpressure (-15 cm H2O) suction source for 14 days.
RESULTS: All of these 4 cases were successfully managed by continuous low-pressure (-15 cmH2O) suction without major co-morbidities.
CONCLUSIONS: Based on our limited experience, the continuous low-pressure (-15 cmH2O) suction method provides an alternative modality of urinary diversion for those with urinary extravasation complicated by extraperitoneal bladder rupture after the standard treatment with a large-bore catheter drainage or surgical repair. In addition, it may also shorten the hospitalization time and reduce medical costs.

並列關鍵字

continuous suction ； urinary bladder ； extraperitoneal urinary extravasation