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[肛肠手术后的泌尿系统并发症]

[Urinary complications after anorectal surgery].

作者信息

Iusuf T, Sârbu V, Cristache C, Popescu R, Botea F, Panait L

机构信息

Clinica de Chirurgie II, Spitalul Clinic Judeţean Constanţa.

出版信息

Chirurgia (Bucur). 2000 Nov-Dec;95(6):531-4.

PMID:14870531
Abstract

The prevalence of urinary complications after various anorectal operations was studied in a group of 273 patients. The overall prevalence of urinary complications was 26.7%; most of these complications affected men between 41 and 50, mainly after hemorrhoidectomy. In 10.6% of patients, bladder catheterization was needed. These urinary complications result from nervous reflexes originating from the anus and determined by the operative trauma and/or rectal distinction. In the treatment of these urinary complications, the role of the muses is essential for reassuring the patients. Parasympathomimetic drugs are often efficient. Urinary catheterization must be delayed until the 18th hour. Fluid restriction may be useful to prevent urinary retention.

摘要

对一组273例患者进行了各类肛肠手术后泌尿系统并发症患病率的研究。泌尿系统并发症的总体患病率为26.7%;这些并发症大多发生在41至50岁的男性患者中,主要是在痔切除术后。10.6%的患者需要进行膀胱插管。这些泌尿系统并发症是由源自肛门的神经反射引起的,由手术创伤和/或直肠分离决定。在这些泌尿系统并发症的治疗中,护士安抚患者的作用至关重要。拟副交感神经药物通常有效。膀胱插管必须推迟到术后18小时。限制液体摄入可能有助于预防尿潴留。

相似文献

1
[Urinary complications after anorectal surgery].[肛肠手术后的泌尿系统并发症]
Chirurgia (Bucur). 2000 Nov-Dec;95(6):531-4.
2
[Urinary disorders following anorectal surgery].[肛肠手术后的泌尿系统疾病]
Schweiz Rundsch Med Prax. 1990 Jun 26;79(26):838-40.
3
Prevention of urinary retention after anorectal operations.预防肛肠手术后尿潴留
Dis Colon Rectum. 1972 Jan-Feb;15(1):69-70. doi: 10.1007/BF02587676.
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Urinary retention following operations for benign anorectal diseases.良性肛肠疾病手术后的尿潴留
Dis Colon Rectum. 1978 Oct;21(7):490-2. doi: 10.1007/BF02586733.
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[Nd:YAG laser for anorectal surgery: initial experience in Israel].[钕钇铝石榴石激光用于肛肠手术:以色列的初步经验]
Harefuah. 1994 Jan 2;126(1):1-4, 56.
6
Factors influencing postoperative urinary retention in patients undergoing surgery for benign anorectal disease.影响良性肛肠疾病手术患者术后尿潴留的因素。
Am J Surg. 1990 Apr;159(4):374-6. doi: 10.1016/s0002-9610(05)81274-7.
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Ambulatory surgery for anorectal diseases: an update.肛肠疾病的门诊手术:最新进展
South Med J. 1986 Feb;79(2):163-6. doi: 10.1097/00007611-198602000-00007.
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Urinary bladder catheter drainage following pelvic surgery--is it necessary for that long?盆腔手术后留置导尿管引流——需要那么久吗?
Dis Colon Rectum. 2010 Mar;53(3):321-6. doi: 10.1007/DCR.06013e3181c7525c.
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[Plastic surgery of the anorectal area. Indications, technique and outcome].
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[Anorectal Leśniowski-Crohn's disease].[肛门直肠莱什诺夫斯基-克罗恩病]
Wiad Lek. 2008;61(7-9):177-82.

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