门诊手术痔切除术——术后尿潴留的一种解决方法？
Ambulatory surgical hemorrhoidectomy--a solution to postoperative urinary retention?
作者信息
Hoff S D, Bailey H R, Butts D R, Max E, Smith K W, Zamora L F, Skakun G B
机构信息
University of Texas Medical School at Houston.
出版信息
Dis Colon Rectum. 1994 Dec;37(12):1242-4. doi: 10.1007/BF02257789.
PURPOSE
The most frequent complication of surgical hemorrhoidectomy is urinary retention. This study evaluates the incidence of urinary retention in a series of patients undergoing surgical hemorrhoidectomy in an ambulatory setting.
METHODS
The records of all patients undergoing anorectal surgical operative procedures during the calendar year 1990 were reviewed, with particular emphasis on urinary retention and other postoperative complications.
RESULTS
Of 201 patients undergoing full surgical hemorrhoidectomy by Colon and Rectal Clinic, 91 percent had operations performed on an ambulatory basis (discharge less than four hours following surgery). Of these 190 patients, only 1 (0.53 percent) required urinary catheterization during the postoperative period.
CONCLUSIONS
The ambulatory setting, when combined with careful patient education and perioperative fluid restriction, allows surgical hemorrhoidectomy to be performed with a very low incidence of urinary retention to the benefit of both patient and surgeon.
目的
手术治疗痔疮最常见的并发症是尿潴留。本研究评估了在门诊环境中接受手术治疗痔疮的一系列患者的尿潴留发生率。
方法
回顾了1990年全年所有接受肛肠外科手术操作的患者记录，特别关注尿潴留和其他术后并发症。
结果
在结肠直肠诊所接受完全手术治疗痔疮的201例患者中，91%的手术是在门诊进行的（术后不到4小时出院）。在这190例患者中，只有1例（0.53%）在术后需要导尿。
结论
门诊环境，结合仔细的患者教育和围手术期液体限制，使得手术治疗痔疮时尿潴留的发生率非常低，这对患者和外科医生都有利。
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