摘要
目的研究术前预置输尿管导管在盆腔粘连患者腹腔镜下全子宫切除术中的应用效果。方法采用回顾性分析方法,研究对象为2017年1月至2020年9月安徽医科大学附属宿州医院收治的100例盆腔粘连患者,所有患者均行腹腔镜下全子宫切除术治疗,根据术前是否预置输尿管导管分为观察组(n=50)和对照组(n=50)。比较2组患者手术前后尿流动力学指标(尿量、残余尿量、尿流率)水平与手术时间、术中出血量及术后并发症(输尿管损伤、尿路感染)发生率。结果观察组术后3 d、1周、2周的尿量[(288.09±35.74、339.86±39.02、385.17±43.02)mL],尿流率[(22.53±2.88、26.86±3.14、29.04±3.47)mL/s]明显高于对照组[(228.11±36.82、289.26±36.59、328.67±42.88)mL;(18.37±2.58、21.43±2.95、25.11±3.42)mL/s],残余尿量[(80.03±6.48、52.47±5.02、23.03±2.14)mL]明显低于对照组[(123.02±8.53、79.07±6.25、33.08±2.17)mL],差异均有统计学意义(P<0.05)。观察组手术时间[(80.63±6.41)min]短于对照组[(89.85±7.18)min],术中出血量[(83.19±6.27)mL]与术后并发症发生率(4.00%)明显低于对照组[(111.06±12.43)mL、18.00%],差异均有统计学意义(P<0.05)。结论盆腔粘连患者腹腔镜下全子宫切除术中术前预置输尿管导管的应用效果显著,可有效改善患者尿流动力学指标水平,减少术中出血量,缩短手术时间,并降低并发症发生率,促使其快速康复。
Objective To study the application effect of preoperative ureteral catheter in laparoscopic hysterectomy for patients with pelvic adhesions.Methods Using a retrospective analysis method,the research object was 100 patients with pelvic adhesions admitted to Suzhou Hospital Affiliated to Anhui Medical University from January 2017 to September 2020.All patients underwent laparoscopic total hysterectomy.The observation group(n=50)and the control group(n=50)were placed with a ureteral catheter.The levels of urodynamic indicators(urine volume,residual urine volume,urine flow rate)before and after surgery between the two groups of patients with operating time,intraoperative blood loss,and incidence of postoperative complications(ureteral injury,urinary tract infection)were compared.Results The urine volume of the observation group at 3 days,1 week,and 2 weeks after operation[(288.09±35.74,339.86±39.02,385.17±43.02)mL],urine flow rate[(22.53±2.88,26.86±3.14,29.04±3.47)mL/s]was significantly higher than the control group[(228.11±36.82,289.26±36.59,328.67±42.88)mL;(18.37±2.58,21.43±2.95,25.11±3.42)mL/s],residual urine volume[(80.03±6.48,52.47±5.02,23.03±2.14)mL]was significantly lower than the control group[(123.02±8.53,79.07±6.25,33.08±2.17)mL],the differences were statistically significant(P<0.05).The operation time of the observation group[(80.63±6.41)min]was shorter than that of the control group[(89.85±7.18)min],the intraoperative blood loss[(83.19±6.27)mL]and the postoperative complication rate(4.00%)were significantly lower In the control group[(111.06±12.43)mL,18.00%],the differences were statistically significant(P<0.05).Conclusion Prepositioning ureteral catheter during laparoscopic total hysterectomy for pelvic adhesions has a significant effect,which can effectively improve the level of urinary flow mechanics,reduce intraoperative blood loss,shorten the operation time,and reduce the incidence of complications,and promote rapid recovery.
作者
冯娜
井水
陈钟玉
孙艳艳
FENG Na;JING Shui;CHEN Zhong-yu(Department of Gynecology,Suzhou Hospital Affiliated to Anhui Medical University,Suzhou Anhui 234000,China)
出处
《临床和实验医学杂志》
2021年第7期759-762,共4页
Journal of Clinical and Experimental Medicine
基金
安徽省自然科学基金项目(编号:2016ZA179)。
关键词
盆腔粘连
腹腔镜下全子宫切除术
输尿管导管
预置
Pelvic adhesions
Laparoscopic total hysterectomy
Ureteral catheter
Prepositioning
