Kulaçoğlu H, Dener C, Kama N A
Department of Surgery, Ankara Numune Teaching and Research Hospital, Ankara, Turkey.
Am J Surg. 2001 Sep;182(3):226-9. doi: 10.1016/s0002-9610(01)00703-6.
There are few reports about urinary retention rate after elective cholecystectomy. We designed a prospective study to assess the problem.
A total of 121 female and 19 male patients were included in the study with a prospective study protocol. Laparoscopic cholecystectomy was performed in 107 patients and open cholecystectomy in 33 patients.
Neither gender nor age affected rate. Postoperative micturition difficulty developed in 10 patients. Of these patients, 9 could void with helping measures, and only 1 needed catheterization. Only 1 patient who underwent laparoscopic surgery required catheterization (0.7%). The open approach caused a higher incidence of postoperative micturition difficulty than did the laparoscopic approach (15.2% versus 4.7%; P = 0.04). Only large amounts of perioperative fluid administration and meperidine use had statistically significant effects on micturition problems.
Urinary retention is a rare complication after elective cholecystectomy. Helping measures are very effective and should be tried before inserting a urethral catheter.
关于择期胆囊切除术后尿潴留发生率的报道较少。我们设计了一项前瞻性研究来评估这一问题。
采用前瞻性研究方案，共纳入121例女性和19例男性患者。107例行腹腔镜胆囊切除术，33例行开腹胆囊切除术。
性别和年龄均不影响发生率。10例患者出现术后排尿困难。其中，9例患者通过辅助措施能够排尿，仅1例需要导尿。仅1例行腹腔镜手术的患者需要导尿（0.7%）。开腹手术术后排尿困难的发生率高于腹腔镜手术（15.2%对4.7%；P = 0.04）。仅围手术期大量补液和使用哌替啶对排尿问题有统计学显著影响。
尿潴留是择期胆囊切除术后罕见的并发症。辅助措施非常有效，在插入尿道导管之前应尝试使用。
