Department of Obstetrics and Gynecology, University of Hong Kong, Hong Kong Special Administrative Region, China.
Acta Obstet Gynecol Scand. 2011 May;90(5):478-82. doi: 10.1111/j.1600-0412.2011.01104.x. Epub 2011 Mar 29.
To assess whether early or immediate removal of a 12F in-dwelling Foley catheter after total abdominal hysterectomy affects the level of subjective pain assessment postoperatively.
Randomized controlled trial.
University Hospital.
Seventy women underwent total abdominal hysterectomies for various benign gynecological diseases.
Women were randomized to have the urinary catheter removed in the operating room after the surgical procedure or to have it removed on postoperative day 1.
The primary outcome was patients' pain assessment and the secondary outcomes were rate of re-catheterization and symptomatic urinary tract infection.
There was no difference in the pain assessment between the two groups. A significantly higher number of urinary retention episodes requiring re-catheterization were found in the immediate removal group compared with the delayed removal group (20 vs. 0%; p= 0.011). The incidence of symptomatic urinary tract infection did not differ between the two groups.
There are pros and cons regarding the policy of one-day in-dwelling catheterization compared to immediate catheter removal.
评估全子宫切除术术后早期或即刻拔除 12F 留置 Foley 导尿管是否会影响术后主观疼痛评估水平。
随机对照试验。
大学医院。
70 名女性因各种良性妇科疾病接受全子宫切除术。
将女性随机分为在手术室手术后拔除导尿管或在术后第 1 天拔除导尿管。
主要观察指标为患者的疼痛评估，次要观察指标为再置管率和症状性尿路感染发生率。
两组患者疼痛评估无差异。与延迟拔除组相比，即刻拔除组需要重新置管的尿潴留发作明显更多（20% vs. 0%；p=0.011）。两组症状性尿路感染的发生率无差异。
与即刻拔除导尿管相比，留置导尿管 1 天的政策有其利弊。
