中国实用妇科与产科杂志

中国实用妇科与产科杂志

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减少宫颈癌根治术后尿潴留发生方法分析

陈青青1，张颐1，孟祥凯1，王化丽2   

  1. 作者单位：1.中国医科大学附属第一医院妇科,辽宁 沈阳 110001；2.大连市妇产医院妇产科，辽宁 大连 116033
  • 出版日期:2015-02-02 发布日期:2015-01-22
  • 通讯作者: 张颐
  • 基金资助:

    辽宁省自然科学基金（2014021021）

Analysis of methods for reducing incidence of urinary retention after cervical cancer radical hysterectomy.

CHEN Qing-qing**,ZHANG Yi**，MENG Xiang-kai**,WANG Hua-li.   

  1. *Department of Gynecology，the First Hospital of China Medical University，Shenyang 110001，China
  • Online:2015-02-02 Published:2015-01-22

摘要：

目的 探讨降低宫颈癌根治术后尿潴留发生率的有效方法。方法 回顾性分析中国医科大学附属第一医院2001年1月至2008年12月行宫颈癌根治术治疗的ⅠA2~ⅡA期宫颈癌患者188例，术后应用药物提高膀胱顺应性、锻炼膀胱功能，观察术后膀胱恢复情况及对术后患者进行长期随访。结果 188例患者中发生尿潴留28例，发生率为14.89%(28/188)，其中残余尿量100~200 mL者 14例，＞200~300 mL者7例，＞300~400 mL 者6例，＞800 mL 者1例（808 mL）。结论 宫颈癌根治术后做好相关预防尿潴留的措施，如锻炼膀胱功能、尽早应用提高膀胱顺应性的药物，可有效降低尿潴留的发生率。

关键词: 尿潴留, 宫颈癌, 膀胱功能

Abstract:

Abstract： Objective To investigate the effective methods for reducing the incidence of urinary retention after the cervical cancer radical hysterectomy.Methods A retrospective analysis was performed,including 188 cases of IA2 ~ⅡA phase cervical cancer patients underwent radical hysterectomy in the First Hospital of China Medical University from January 2001 to December 2008.Application of drugs to improve bladder compliance and to exercise bladder function after the surgery.To observe the recovery of postoperative bladder function and long-term follow-up was done.Results In 188 cases,the urinary retention happened in 28 out of them which constitute 14.89%(28/188) in total.The residual urine volume was 100-200 mL of 14 people，>200-300 mL of 7 people,>300-400 mL of 6 people，1 was more than 800 mL (808 mL).Conclusion It is crucial to decrease the occurence of urinary retention after the cervical cancer radical hysterectomy by exercising the bladder function and early application of drugs that improve the bladder compliance.

Key words: urinary retention;cervical cancer, bladder function

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