在结直肠外科手术后立即取出尿管,以加强手术后的康复方案
In Kyeong Kim1, Chul Seung Lee1, Jung Hoon Bae1
1Division of Colorectal Surgery, Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea.
International journal of colorectal disease
|June 7, 2023
概括
在结直肠手术后立即取出尿管是安全的,10%的人经历了尿. 风险因素包括男性性别,先前的尿道问题和内吗啡.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 麻醉学 麻醉学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 手术后增强恢复 (ERAS) 协议建议在结肠直肠手术后提前切除尿导管 (UC).
- 摘除UC的最佳时间仍在争论中,这会影响患者的康复和结果.
研究的目的:
- 评估结直肠癌手术后立即切除UC的安全性和可行性.
- 确定与手术后尿路保留 (POUR) 相关的危险因素.
主要方法:
- 对737名接受选择性结直肠癌手术的患者进行了回顾性分析.
- 尿导管在麻醉后立即在手术室被移除.
- 主要结局:POUR发生率;次要结局:风险因素和并发症.
主要成果:
- 手术后尿 (POUR) 发生在10%的患者 (81/737) 在UC切除后立即发生.
- 贫困在男性和有尿路病史的患者中更常见.
- 对POUR的危险因素包括男性性别,尿路疾病史和内吗啡注射.
结论:
- 结直肠外科手术后立即切除UC是安全的,符合ERAS原则.
- 男性性别,有良性前列腺增生病史和内吗啡是POUR的关键危险因素.
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