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减少宫颈癌根治术后尿潴留发生方法分析 被引量:38

Analysis of methods for reducing incidence of urinary retention after cervical cancer radical hysterectomy
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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 m L者14例,〉200~300 m L者7例,〉300~400 m L者6例,〉800 m L者1例(808 m L)。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。 Objective To investigate the effective methods for reducing the incidence of urinary retention after the cer- vical cancer radical hysterectomy.Methods A retrospective analysis was performed,including 188 cases of IA2 - I] A phase cervical cancer patients underwent radical hysterectomy in the First Hospital of China Medical University from Jan- uary 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 oc- curence of urinary retention after the cervical cancer radi- cal hysterectomy by exercising the bladder function and early application of drugs that improve the bladder compliance.
出处 《中国实用妇科与产科杂志》 CAS CSCD 北大核心 2015年第2期156-159,共4页 Chinese Journal of Practical Gynecology and Obstetrics
基金 辽宁省自然科学基金(2014021021)
关键词 尿潴留 宫颈癌 膀胱功能 urinary retention cervical cancer bladderfunction
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