活体供肾移植受者术后第1天拔除 Foley 导尿管不会增加尿漏发生率。
Removal of foley catheters in live donor kidney transplant recipients on postoperative day 1 does not increase the incidence of urine leaks.
作者信息
Siskind Eric, Sameyah Emil, Goncharuk Edwin, Olsen Elizabeth M, Feldman Joshua, Giovinazzo Katie, Blum Mark, Tyrell Richard, Evans Cory, Kuncewitch Michael, Alexander Mohini, Israel Ezra, Bhaskaran Madhu, Calderon Kellie, Jhaveri Kenar D, Sachdeva Mala, Bellucci Alessandro, Mattana Joseph, Fishbane Steven, D'Agostino Catherine, Coppa Gene, Molmenti Ernesto
机构信息
Department of Transplantation, North Shore Long Island Jewish Health System, Hofstra University School of Medicine, Manhasset, New York.
出版信息
Int J Angiol. 2013 Mar;22(1):45-8. doi: 10.1055/s-0033-1333870.
Catheterization of the urinary bladder during kidney transplantation is essential. The optimal time to remove the Foley catheter postoperatively is not universally defined. It is our practice to remove the Foley catheter on postoperative day 1 in live donor kidney transplant recipients who meet our standardized protocol criteria. We believe that early removal of Foley catheters increases patient comfort and mobility, decreases the risk of catheter associated urinary tract infections, and allows for decreased hospital length of stay. The hypothetical risk of early removal of Foley catheters would be the increased risk of urine leak. We reviewed 120 consecutive live donor kidney transplant recipients and found that there was not an increased incidence of urine leaks in patients whose Foley catheters were removed on postoperative day 1.
肾移植术中膀胱插管至关重要。术后拔除 Foley 导尿管的最佳时间尚无统一标准。我们的做法是，对于符合我们标准化方案标准的活体供肾移植受者，在术后第 1 天拔除 Foley 导尿管。我们认为，早期拔除 Foley 导尿管可提高患者舒适度和活动能力，降低导尿管相关尿路感染的风险，并缩短住院时间。早期拔除 Foley 导尿管的潜在风险可能是尿漏风险增加。我们回顾了 120 例连续的活体供肾移植受者，发现术后第 1 天拔除 Foley 导尿管的患者尿漏发生率并未增加。
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