达芬奇机器人辅助下肺癌根治术患者术后尿潴留的影响因素

Influencing factors of urinary retention in patients undergoing radical surgery for lung cancer assisted by Da Vinci robot

目的探讨达芬奇机器人辅助下肺癌根治术患者术后尿潴留的影响因素。方法选取2019年3月至2021年11月在徐州医科大学附属医院接受达芬奇机器人辅助肺癌根治术的102例患者作为研究对象,根据是否发生尿潴留分为两组(发生组和未发生组)。收集患者的临床资料,行单因素和Logistic多因素分析。结果单因素分析结果显示,年龄、性别、手术时间、术中输液量、腹部手术史、泌尿系统病史、慢性基础疾病史、国际前列腺症状评分(IPSS)、术后使用阿片类镇痛药是影响达芬奇辅助下肺癌根治术患者术后发生尿潴留的因素;Logistic多因素分析结果显示年龄>60岁、有泌尿系疾病史、有腹部手术史、术后使用阿片类镇痛药是行达芬奇辅助肺癌根治术患者尿潴留的高危因素。结论达芬奇机器辅助下肺癌根治术患者术后尿潴留的影响因素众多,其中年龄≥60岁、有泌尿系病史、有腹部手术史、术后使用阿片类镇痛药是影响患者尿潴留的独立危险因素。

Objective To study the influencing factors of urinary retention after radical operation for lung cancer assisted by Da Vinci robot.Methods A total of 102 patients who received Da Vinci robot-assisted radical resection for lung cancer in this hospital from March 2019 to November 2021 were selected as the study objects and divided into two groups(occurrence group and non-occurrence group)according to whether urine retention occurred.Clinical data of the patients were collected and univariate and Logistic multivariate analysis were performed.Results Univariate analysis showed that age,gender,time of operation,intraoperative infusion volume,history of abdominal surgery,history of urinary system,history of chronic underlying diseases,International Prostate Symptom Score(IPSS),and postoperative use of opioid analgesics were factors influencing urinary retention in patients undergoing Da Vinci assisted radical lung cancer surgery.Logistic multivariate analysis results showed that age over 60 years old,history of urinary diseases,history of abdominal surgery,and postoperative use of opioid analgesics were high risk factors for urinary retention in patients undergoing Da Vinci assisted radical resection for lung cancer.Conclusions There are many factors affecting urinary retention in patients with radical lung cancer assisted by Da Vinci machine.Among them,age greater than or equal to 60 years old,history of urinary system,history of abdominal surgery,and postoperative use of opioid analgesics are independent risk factors for urinary retention.