胸腔镜下肺叶切除术后尿管拔管时间对患者预后的影响  

Effects of posterior ureteral extubation time on the prognosis of patients with thoracoscopic lobectomy

作　　者：崔秋霞 叶云婕[1] 杨艳珍[1] 

机构地区：[1]广东省医学科学院/广东省人民医院,广东广州510080

出　　处：《中医临床研究》2018年第15期125-127,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探究胸腔镜下肺叶切除术后尿管拔管时间对患者预后的影响。方法:回顾性分析2016年6月-2017年6月行全麻胸腔镜下肺叶切除术治疗的738例患者,根据尿管拔管时间分组,411例患者术后1d内第一次或第二次尿急时拔管,设为早期组,其余327例患者则在术后2~4d内拔管,设为非早期组,对比两组患者重插尿管率、尿路刺激症发生率、尿潴留发生率、尿路感染发生率及住院时间。结果:两组患者术中尿量、手术时间、术中出血量对比均无显著差异(P>0.05);术后两组患者的重插尿管率、尿路刺激症发生率、尿潴留发生率对比均无显著差异(P>0.05),早期组的尿路感染发生率显著低于非早期组(P<0.05);早期组住院时间显著低于非早期组(P<0.05)。结论:胸腔镜下肺叶切除术后早期拔除尿管不会增加患者的尿路负担,导致尿潴留发生率上升,同时可减少尿路感染的发生率,值得在临床上推广和应用。Objective:To investigate the effect of thoracoscopic laryngeal extubation time on the prognosis of patients after lobectomy.Method:738 patients underwent thoracoscopic lobectomy from June 2016 to June 2017 were retrospectively analyzed.According to the duration of ureteral extubation,411 patients who received first or second urinary extubation within 1 day were included in the early group,the remaining 327 patients received extubation within 2~4d were set as non-early group,the urinary catheterization,urinary tract irritation,rate of urinary retention,incidence of urinary tract infection and hospital stay of two groups of patients were compared.Results:There was no significant difference in the amount of urine output,operation time and intraoperative blood loss between the two groups(P>0.05).There was no significant difference in the incidence of urinary incontinence,urinary tract irritation and urinary retention occurred in both groups(P>0.05).The incidence of urinary tract infection in the early group was significantly lower than that in the non-early group(P<0.05).The time of hospitalization in the early group was significantly lower than that in the non-early group(P<0.05).Conclusion:Early removal of ureter after thoracoscopic lobectomy would not increase the urinary tract burden in patients,leading to an increase in urinary retention and a decrease in the incidence of urinary tract infection,which was worthy of clinical application and promotion.

关 键 词：胸腔镜 肺叶切除术 尿管 拔管 预后 

分 类 号：R65[医药卫生—外科学]