Sigel A, Schrott K M
Langenbecks Arch Chir. 1977 Nov;345:563-4. doi: 10.1007/BF01305539.
Impaired micturition after general surgical operations can be due to three causes, which occur individually or in combination. The first comprises side effects of anesthetics upon the autonomic nervous system. Inhibition of the abdominopelvic reflex, initiating micturition, due to the operative trauma represents the scond cause. Both the vegetative and the mechanical traumas, lead to decompensation of the urinary bladder, whose function is impaired by neuropathic factors and outflow obstruction. Pulmonary, cerebral, and abdominal insufficiency prolong the effects of both traumas. The third cause is direct operative injury of the sacroplexus pelvus.--Approximately 25% of all patients undergoing surgery will shown voiding disturbances in the postoperative period. The treatment consists sympatholytic therapy. In cases of neuropathic and obstructed bladders, the treatment of choice is transurethral correction of the bladder outlet.
普通外科手术后排尿障碍可能由三种原因引起，这些原因可单独出现或合并出现。第一种包括麻醉药对自主神经系统的副作用。手术创伤导致启动排尿的腹盆腔反射受到抑制是第二种原因。自主神经和机械性创伤都会导致膀胱失代偿，其功能因神经病变因素和流出道梗阻而受损。肺部、脑部和腹部功能不全延长了这两种创伤的影响。第三种原因是盆腔骶丛的直接手术损伤。——所有接受手术的患者中约有25%在术后会出现排尿障碍。治疗包括交感神经阻滞疗法。对于神经源性和梗阻性膀胱，首选的治疗方法是经尿道矫正膀胱出口。
