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手术前后空腔残留量不能预测手术后的尿留在初级整关节整形术患者中的情况

Sailesh V Tummala¹, Erik M Verhey², Mark J Spangehl¹

¹Department of Orthopedic Surgery, Mayo Clinic, Phoenix, AZ, USA.

Arthroplasty today

|March 7, 2024

概括

手术前后空腔残留 (PVR) 扫描不是在关节置换手术后尿的可靠预测指标. 随着年龄的增长和男性的性别是术后导管治疗的危险因素.

科学领域:

整形外科手术整形外科手术
泌尿器科泌尿器科泌尿器科泌尿器科
患者的治疗结果.

背景情况:

手术后的尿是关节整形术和膝关节整形术后的常见并发症.
排空后残留 (PVR) 扫描是一种评估尿留的非侵入性方法.
术前增加的PVR (PrePVR) 已被假设为术后导管治疗的危险因素.

研究的目的:

为了前性地评估PrePVR在术后尿导管治疗中的预测价值.
评估PrePVR和术后结果之间的关系,例如导管安置,泌尿器科咨询和停留时间.

主要方法:

从94名接受全部或膝盖关节整形手术的患者收集前性数据.
在手术前进行膀扫描,以确定PrePVR.
在0日和1日进行术后膀扫描.
检查导管,泌尿器科咨询和停留时间的图表.

主要成果:

与手术前的PVR相比,术后的PVR显著增加 (48.0毫升 vs 21.0毫升,P < .0001).
超过50毫升的PrePVR与增加的PVR,停留时间或需要导管治疗没有显著的相关性.
增加年龄是术后福利导管安置的唯一显著风险因素 (P = .02).

结论:

术前PVR>50毫升并不是在全关节整形术后术后尿的准确预测指标.
在所有患者中,术后PVR显著增加.
男性性别和年龄的增加与增加的PVR和更高的导管风险有关.

关键词:

关节质整术是指关节质整术.膀扫描可以检查膀.阴道导管治疗的方法在Pour Pour的时候.保持尿液的时间

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