Schiøtz H A
Gynekologisk avdeling, Hamar sjukehus.
Tidsskr Nor Laegeforen. 1991 Mar 10;111(7):841-3.
Catheter drainage of the bladder involves a risk of urinary tract infection, and this risk increases with time. A survey was carried out of the routines for bladder drainage after gynecological operations in Norway. There was good correlation between the departments for use of catheter following laparoscopy, laparotomy and caesarean section, but not for retropubic urethrapexy and vaginal plastic operations. The mean drainage time was 0.9 days for minor and 1.3 days for major laparotomy, 1.0 day for caesarean section, 3.4 days for urethrapexy and 3.1 days for vaginal operations. The routines for catheter drainage in Norway are discussed in relation to the risk of infection and retention of urine and it is concluded that a number of departments should reconsider their routines.
膀胱导管引流存在尿路感染风险，且该风险会随时间增加。挪威开展了一项关于妇科手术后膀胱引流常规操作的调查。腹腔镜检查、剖腹手术和剖宫产术后导管使用情况在各科室之间具有良好的相关性，但耻骨后尿道固定术和阴道整形手术则不然。小型剖腹手术的平均引流时间为0.9天，大型剖腹手术为1.3天，剖宫产为1.0天，尿道固定术为3.4天，阴道手术为3.1天。结合感染风险和尿潴留情况对挪威的导管引流常规操作进行了讨论，得出的结论是一些科室应重新考虑其常规操作。
