CAJ | 학술논문

目的探讨导尿术中尿管插入困难的常见原因、预防措施及处理方法.方法分析150例患者导尿术时尿管插入困难的情况,总结尿管插入困难的原因、处理方法和预防措施.结果导尿术中尿管插入困难的常见原因是尿道畸形、尿道狭窄、后尿道结石、尿道括约肌痉挛、操作者手法不当等；在消除患者紧张情绪基础上,根据具体情况,分别或联合使用利多卡因、液体石蜡、尿道探子,结合尿道解剖学特点,采用适当手法处理多能取得满意效果.结论导尿术前耐心解释取得病人充分合作,特别是术中结合尿道解剖学特点,注意操作技巧、可减少尿管插入困难情况的发生；尿道注入利多卡因、液体石蜡等可减轻患者的不适并利于尿管插入,是较好的辅助方法.
목적 탐토도뇨술중뇨관삽입곤난적상견원인、예방조시급처리방법.방법 분석150례환자도뇨술시뇨관삽입곤난적정황,총결뇨관삽입곤난적원인、처리방법화예방조시.결과 도뇨술중뇨관삽입곤난적상견원인시뇨도기형、뇨도협착、후뇨도결석、뇨도괄약기경련、조작자수법불당등；재소제환자긴장정서기출상,근거구체정황,분별혹연합사용리다잡인、액체석사、뇨도탐자,결합뇨도해부학특점,채용괄당수법처리다능취득만의효과.결론 도뇨술전내심해석취득병인충분합작,특별시술중결합뇨도해부학특점,주의조작기교、가감소뇨관삽입곤난정황적발생；뇨도주입리다잡인、액체석사등가감경환자적불괄병리우뇨관삽입,시교호적보조방법.
Objective To investigate the common causes, preventive measures and treatment methods of catheter insertion difficulties during catheterization.Methods 150 cases of catheterization catheter insertion difficult situation were analyzed to summarize the catheter insertion difficulties,treatment methods and prevention measures.Results The common causes were deformity of urethra, urethral stricture,posterior urethra,urethral sphincter spasm and the improper operation skills.The treatment should be carried out according to the specific circumstances of patients,then take separate or combined use of lidocaine,liquid paraffin,urethral probe,based on the features of urethral anatomy,using appropriate treatment methods can get satisfactory effects.Conclusions We should patiently explain to obtain full cooperation from patients.Especially during urethral catheterization,we must combine with intraoperative urethral anatomy situation,pay attention to operation skill,to reduce the catheter insertion difficulties; urethral infusion of lidocaine and liquid paraffin can relieve the patients' discomfort and helpful for catheter insertion,which is a good assistant method.