Dobbs S P, Jackson S R, Wilson A M, Maplethorpe R P, Hammond R H
Department of Obstetrics and Gynaecology, Queen's Medical Centre, Nottingham, UK.
Br J Urol. 1997 Oct;80(4):554-6. doi: 10.1046/j.1464-410x.1997.t01-1-00376.x.
To compare the infection rate and post-operative morbidity between in-dwelling urinary catheterization and 'in-out' catheterization at the time of routine total abdominal hysterectomy.
The study comprised 100 patients who were blindly randomized to have either an indwelling Foley catheter or an 'in-out' catheterization at the time of surgery. Follow-up data on the retention of urine, urinary symptoms and infection were obtained.
Of the 95 patients with complete data, 36% of those undergoing in-out catheterization had urinary retention after operation, requiring bladder emptying, compared with 4% of those receiving an indwelling catheter (P < 0.001). In addition, 29% of the catheterized group had urinary tract bacteriuria compared with 13% of the uncatheterized group (P < 0.025).
This randomized controlled trial showed that in-out urinary catheterization at the time of routine abdominal hysterectomy was associated with a significantly higher incidence of post-operative urinary retention compared with in-dwelling catheterization, and may have implications for long-term bladder function.
比较常规全腹子宫切除术时留置导尿与间歇性导尿的感染率及术后发病率。
本研究纳入100例患者，在手术时将其随机分为两组，分别接受留置Foley导尿管或间歇性导尿。收集了关于尿潴留、泌尿系统症状及感染的随访数据。
在95例有完整数据的患者中，间歇性导尿组术后有36%发生尿潴留，需要膀胱排空，而留置导尿管组这一比例为4%（P<0.001）。此外，导尿组有29%发生泌尿系统菌尿，未导尿组为13%（P<0.025）。
这项随机对照试验表明，常规腹式子宫切除术时间歇性导尿与留置导尿相比，术后尿潴留的发生率显著更高，且可能对长期膀胱功能有影响。
