盆底重建术后尿潴留的临床分析

目的:通过对盆底重建术后尿潴留患者的调查,评价尿潴留的影响因素及高发原因。方法:回顾性分析148例盆底重建术后患者尿潴留的发生情况。结果:148例患者中,52例发生尿潴留,其中年龄≥60岁患者35例,<60岁患者17例;同时行子宫切除的患者发生尿潴留33例,保留子宫者19例;椎管内麻醉的患者发生尿潴留29例,全身麻醉者23例,差异均有统计学意义(P<0.05)。使用Prolift网片的患者发生尿潴留27例,使用改良网片者25例,差异无统计学意义(P>0.05)。结论:盆底重建术后尿潴留的发生与患者的年龄、是否保留子宫及麻醉方式有关,与网片类型无明显关系。术前术中及术后均应控制高发因素,极早诊断及治疗可以避免膀胱永久性损伤。

Clinical analysis on postoperative urinary retention after pelvic floor reconstruction

Objective:To evaluate the influencing factors and high risk factors of urinary retention by investigating the patients with postoperative urinary retention after pelvic floor reconstruction.Methods:The occurrence of postoperative urinary retention in 148 patients after pelvic floor reconstruction were analyzed retrospectively.Results:Among 148 patients,52 patients were found with urinary retention,including 35 patients≥60 years old and 17 patients <60 years old;among the patients undergoing uterectomy simultaneously,33 patients were found with urinary retention;among the patients preserving uterus,19 patients were found with urinary retention;among the patients receiving intraspinal anesthesia,29 patients were found with urinary retention;among the patients receiving general anesthesia,23 patients were found with urinary retention,there were statistically significant differences in the above-mentioned indexes(P<0.05).Among the patients adopting Prolift mesh,27 patients were found with urinary retention;among the patients adopting modified mesh,25 patients were found with urinary retention,there was no statistically significant difference(P>0.05).Conclusion:The occurrence of postoperative urinary retention after pelvic floor reconstruction is correlated with age,preserving uterus or not,and anesthesia methods,which is not related to the types of mesh.The high risk factors should be controlled before,during,and after operation,early diagnosis and treatment can avoid bladder permanent damage.