摘要
目的探讨宫腔镜电切术术前术后留置导尿管的必要性。方法选择拟行宫腔镜电切术的病例120例,随机分为A组(术前10min排空膀胱,术中术后不留置导尿管)40例,B组(术前留置导尿管,术后6h拔除)40例,C组(术前留置导尿管,术后24h拔除)40例,分析指标包括:手术时间、副损伤(膀胱穿孔)、术后发热(体温≥38.5℃)、尿路感染(术后第2天复查尿常规)、尿潴留(术后不能自主排尿而需再次留置导尿管)、尿道刺激症状(尿道疼痛但尿常规未见感染迹象)等。结果三组间在手术时间、副损伤、术后发热、尿潴留方面的差异无统计学意义,B及C组的术后发热、尿路感染、尿潴留的发生率稍高,术后尿路感染发生率在A及C两组间的差异有统计学意义,尿道刺激症状(尿频、尿痛)A组与其他两组相比,差异有统计学意义。结论中低难度的多数宫腔镜电切术的术前术后不留置导尿管是可行的。
Objective To investigate the necessity of in-dwelling catheter in pre-and post-hysteroscope electrocision. Methods To select 120 cases for hysteroscope, and to divide into 3 groups, group A （empty bladder before operation and no in-dwelling catheter, 40 cases）, group B （in-dwelling catheter before operation, and remove it 6 hours after operation, 40 cases）, group C （in-dwelling catheter before operation and remove it 12 hours after operation, 40 cases）. analysis was based on operation period, postoperational fever, urinary inflammation, urine retention and urethra stimulation etc. Results For operation period, uterus rupture, postoperational fever and urine retention, there is no significant differences among the three groups; and for postoperational fever, urinary inflammation and urine retention, more in group B and C; for urinary inflammation there are significant differences between group A and C; for urethra stimulation, there are significant differences between group A and the other groups. Conclusion So for most hysteroscope electrocision, no in-dwelling catheterization is feasible.
