Oishi C S, Williams V J, Hanson P B, Schneider J E, Colwell C W, Walker R H
Division of Orthopaedic Surgery, Scripps Clinic and Research Foundation, La Jolla, California 92037, USA.
J Arthroplasty. 1995 Dec;10(6):732-6. doi: 10.1016/s0883-5403(05)80067-1.
A retrospective review of 95 consecutive primary total hip arthroplasty patients was performed to assess the clinical outcome of two postoperative bladder management protocols. The first 49 patients (group 1) were treated with a pro re nata straight catheterization protocol. The next 46 patients (group 2) were treated with an indwelling catheterization protocol. There were no differences between the groups with respect to sex or age. The patients in group 2 had significantly lower incidences of urinary retention (P < .0005) and bladder distention (P < .0005) than those in group 1. Preoperative systemic diseases and urologic symptoms did not correlate with the occurrence of postoperative urinary retention or bladder distention. There were no infections in group 1. In group 2, one patient (2%) had bacteriuria and one patient (2%) had a urinary tract infection (P > .1). This trend of increased contamination in the catheterization group may be related to a mean catheterization duration of 72 hours.
对95例连续进行初次全髋关节置换术的患者进行回顾性研究，以评估两种术后膀胱管理方案的临床效果。前49例患者（第1组）采用按需留置导尿方案治疗。接下来的46例患者（第2组）采用留置导尿方案治疗。两组在性别或年龄方面无差异。第2组患者的尿潴留发生率（P < .0005）和膀胱膨胀发生率（P < .0005）显著低于第1组。术前全身性疾病和泌尿系统症状与术后尿潴留或膀胱膨胀的发生无关。第1组无感染发生。第2组中，1例患者（2%）发生菌尿，1例患者（2%）发生尿路感染（P > .1）。导尿组污染增加的这种趋势可能与平均导尿持续时间72小时有关。
