经尿道前列腺电切术后早期拔除留置导尿管的可行性及安全性  

The Study on safety and feasibility of early removal of indwelling catheter after transurthral resection of the prostate

作　　者：蒋玉梅[1] 龚永光[1] 白晓静[1] 

机构地区：[1]西安交通大学医学院第一附属医院泌尿外科,陕西西安710061

出　　处：《现代泌尿外科杂志》2010年第5期379-380,共2页Journal of Modern Urology

摘　　要：目的探讨经尿道前列腺电切术后早期拔除留置导尿管对降低术后并发症及住院费用的影响及临床应用安全性。方法将200例患者随机分为2组,实验组患者术后3 d拔除留置导尿管。对照组术后4~5 d拔除留置导尿管,观察2组患者拔除留置导尿管后尿路感染、尿道热、重新留置导尿、继发性出血、深静脉血栓的发生率。结果术后3 d拔除留置导尿管能降低TURP术后尿路感染的发生率（P〈0.05）,减少住院费用,缩短平均住院日（P〈0.05）。结论前列腺经尿道电切术后早期拔除留置尿管不但可以减少术后并发症,而且可以降低手术费用,值得推广应用。Objective To evaluate whether the early removal of indwelling catheter after transurethral resection of the prostate（TURP） can reduce postoperative complications and hospital costs with clinical safety.Methods 200 patients were randomly divided into two groups,the experiment group removed indwelling catheter 3 days after operation,while the control group 4~5 days after operation.The incidence of urinary tract infections,urinary tract heat,re-catheterization,secondary hemorrhage,and deep vein thrombosis were compared between the two groups.Results Removal of indwelling catheter 3 days after TURP operation could reduce the incidence of urinary tract infection（P0.05）and hospital costs,and shorten the length of hospital stay（P0.05）.Conclusion Early removal of indwelling catheter after TURP can reduce not only postoperative complications,but also hospital costs,which should be widely applied.

关 键 词：良性前列腺增生 经尿道前列腺电切术 留置导尿 

分 类 号：R699.6[医药卫生—泌尿科学]