Hendren Samantha
Division of General Surgery, Department of Surgery, University of Michigan, Ann Arbor, Michigan.
Clin Colon Rectal Surg. 2013 Sep;26(3):178-81. doi: 10.1055/s-0033-1351135.
After colorectal resection surgery, early urinary catheter removal has been promoted as a part of the national Surgical Care Improvement Project. However, the decrease in urinary tract infection expected with this strategy must be balanced against an increased risk for urinary retention. A systematic review of the literature was undertaken to summarize the evidence for and against early postoperative urinary catheter removal. For nonpelvic colorectal resection, the evidence supports removal of the catheter on postoperative day 1 for patients who are not at high risk for urinary retention, including patients with thoracic epidurals. For mid-to-low rectal surgery, the risk of urinary retention is increased, and catheter removal on day 3 to day 6 is recommended; however, the exact timing of removal cannot be recommended based on current studies.
结直肠切除术后，早期拔除导尿管作为国家外科护理改进项目的一部分得到了推广。然而，该策略预期的尿路感染减少必须与尿潴留风险增加相权衡。我们进行了一项文献系统综述，以总结支持和反对术后早期拔除导尿管的证据。对于非盆腔结直肠切除术，有证据支持对于无尿潴留高风险的患者，包括接受胸段硬膜外麻醉的患者，在术后第1天拔除导尿管。对于中低位直肠手术，尿潴留风险增加，建议在术后第3天至第6天拔除导尿管；然而，根据目前的研究，无法推荐确切的拔除时间。
