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双 J 管置入术对宫颈癌术后患者留置导尿减少尿路感染的效果观察

Effects of Continuous Catheterization on Reducing Postoperative Urinary Tract Infection in Cervical Cancer Patients with Double J Stent Placement.

机构信息

Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang 110004, China.

Department of Oncology, The People's Hospital of Liaoning Province, Shenyang 110016, China.

出版信息

J Healthc Eng. 2021 Nov 9;2021:9299001. doi: 10.1155/2021/9299001. eCollection 2021.

Abstract

This study aims at exploring the effect of continuous catheterization on reducing postoperative urinary tract infection in cervical cancer patients with double J tube placement. To be specific, a retrospective analysis was performed on 120 cases of cervical cancer patients who underwent laparoscopic or open radical hysterectomy in Shengjing Hospital of China Medical University from January to December 2019. They were divided into a persistent group ( = 70) and a short-term group ( = 50) according to indwelling catheter time. The incidence of postoperative complications and the positive rate of bacterial culture in bladder urine and double J tube bacterial culture were compared between the two groups. As a result, it was found that the incidence of postoperative fever and urinary tract infection in the short-term group was significantly higher than that in the persistent group ( < 0.05). There was no significant difference in the incidence of postoperative hematuria, bladder stimulation, and urinary system injury between the two groups. The positive rate of double J tube bacterial culture in both groups was also proved to be higher than that in bladder culture, and the difference was statistically significant ( < 0.05). And in the short-term group ( < 0.05), the difference in the positive rate of bladder culture between the two groups was not statistically significant. To conclude, we found that continuous catheterization can reduce the incidence of postoperative urinary tract infection in cervical cancer patients with double J tube placement, which might be helpful for the treatment of cervical cancer.

摘要

本研究旨在探讨持续导尿对减少宫颈癌患者双 J 管置入术后尿路感染的影响。具体而言,我们对 2019 年 1 月至 12 月在中国医科大学盛京医院接受腹腔镜或开腹根治性子宫切除术的 120 例宫颈癌患者进行了回顾性分析。根据留置导尿管时间,将患者分为持续组(n=70)和短期组(n=50)。比较两组患者术后并发症发生率及膀胱尿和双 J 管细菌培养的细菌培养阳性率。结果发现,短期组术后发热和尿路感染的发生率明显高于持续组(<0.05)。两组术后血尿、膀胱刺激征和泌尿系统损伤的发生率无统计学差异。两组双 J 管细菌培养的阳性率均高于膀胱培养,差异有统计学意义(<0.05)。且在短期组(<0.05)中,两组膀胱培养的阳性率差异无统计学意义。综上所述,我们发现持续导尿可降低宫颈癌患者双 J 管置入术后尿路感染的发生率,可能有助于宫颈癌的治疗。

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