全身麻醉下腹腔镜子宫肌瘤剔除术患者尿管拔除时机的探讨

摘要

Objective To investigate the catheter removal timing with laparoscopic uterine ifbroids removed under general anesthesia.Methods 80 cases were randomly divided into two group, each 40 cases, the observation group were removed catheter in 24 hours, the control group were retained more than 48 hours, then more removal guide four hours after the catheter by ultrasound measurement of residual urine, catheterization complications, such as catheter blockage, catheter prolapse and urine infection ratio appear were compared.Results The observation group with urinary blockage, catheter prolapse and urine infection ratio were lower than control group (P<0.05), 4 hours residual urine volume was less than control group (P<0.05).Conclusion Catheter removal in 24 hours with laparoscopic uterine ifbroids removed under general anesthesia can reduce indwelling catheter-related complication and promote the recovery of bladder function.%目的探讨全身麻醉下腹腔镜子宫肌瘤剔除术患者尿管拔除时机。方法80例患者随机分为两组，各40例，观察组与术后24 h内拔除导尿管，对照组则留置时间超过48 h，比较拔除导尿管后4 h通过超声测定残余尿量，观察两组出现留置导尿相关并发症看，如尿管堵塞、尿管脱出及尿量感染的比例。结果观察组发生尿管堵塞、尿管脱出及尿量感染的比例低于对照组（P＜0.05），观察组拔除导尿管后4 h残余尿量少于对照组（P＜0.05）。结论全身麻醉下腹腔镜子宫肌瘤剔除术患者术后24 h内拔除导尿管能有效地减少留置尿管相关并发症，促进膀胱功能恢复。