Mahan K T, Wang J
Department of Podiatric Surgery, Pennsylvania College of Podiatric Medicine, Philadelphia.
J Am Podiatr Med Assoc. 1993 Nov;83(11):607-14. doi: 10.7547/87507315-83-11-607.
Spinal anesthetic is a common form of surgical anesthetic used in foot and ankle surgery. Spinal morphine anesthetic is less common, but has the advantage of providing postoperative analgesia for 12 to 24 hr. A number of complications can occur with spinal anesthesia, including urinary retention that may be a source of severe and often prolonged discomfort and pain for the patient. Management of this problem may require repeated bladder catheterization, which may lead to urinary tract infections or impairment of urethrovesicular function. This study reviews the incidence of urinary retention in 80 patients (40 after general anesthesia and 40 after spinal anesthesia) who underwent foot and ankle surgery at Saint Joseph's Hospital, Philadelphia, PA. Twenty-five percent of the patients who had spinal anesthesia experienced urinary retention, while only 7 1/2% of the group who had general anesthesia had this complication. Predisposing factors, treatment regimen, and recommendations for the prevention and management of urinary retention are presented.
脊髓麻醉是足踝手术中常用的一种手术麻醉方式。脊髓吗啡麻醉不太常见，但具有为术后提供12至24小时镇痛的优势。脊髓麻醉可能会出现多种并发症，包括尿潴留，这可能是患者严重且常常持续不适和疼痛的来源。处理这个问题可能需要反复导尿，这可能导致尿路感染或尿道膀胱功能受损。本研究回顾了宾夕法尼亚州费城圣约瑟夫医院80例接受足踝手术患者（40例全身麻醉后，40例脊髓麻醉后）的尿潴留发生率。接受脊髓麻醉的患者中有25%发生了尿潴留，而全身麻醉组只有7.5%出现了这种并发症。文中还介绍了尿潴留的诱发因素、治疗方案以及预防和处理建议。
