导尿管留置时间对腹腔镜辅助阴式子宫切除术患者排尿结果的影响

Impact of duration of catheter following LAVH on voiding outcome

目的探讨腹腔镜辅助阴式子宫切除术（LAVH）后不同导尿管拔出时间对患者排尿结果的影响，为确定最佳拔管时间提供依据。方法将139例符合纳入标准的患者随机分为非留置导尿组47例，留置1d组46例，留置2d组46例，分别于相应的时间拔出尿管。对3组患者发生术后尿潴留（PUR）、尿路感染（UTI）和重置导尿管的情况进行观察比较。结果3组患者的尿潴留和尿路感染发生率有显著差异，但重置导管率无显著差异。结论LAVH术后应尽早拔出导尿管，以减少尿路感染的发生率。

Objective To explore the impact of duration of catheter on incidences of PUR, UTI and reinserting catheter following LAVH, in order to determine the best time for withdrawing catheter. Methods 139 patients in keeping with the selected criteria were randomly divided into the non-catheter group, indwelling one- day and two-day group. The incidences of PUR, UTI and reinserting catheter were analyzed. Results There was significant difference in PUR and UTI among the three groups, and no difference was seen in reinserting catheter among them. Conclusions The catheter should be withdrawn as early as possible to prevent UTI.