男性直肠癌根治术后尿潴留的影响因素分析  

Influencing factors of urinary retention after radical resection for rectal cancer in male

作　　者：沈荐[1] 李敏哲[1] SHEN Jian;LI Minzhe(Department of General Surgery,Beijing Chao-Yang Hospital Affiliated to Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院普外科,北京100020

出　　处：《现代肿瘤医学》2023年第3期490-493,共4页Journal of Modern Oncology

摘　　要：目的:探讨男性直肠癌根治术后尿潴留发生的影响因素。方法:回顾性分析2013年07月至2021年06月于我院普外科行直肠癌根治术的236例男性患者的临床资料。记录术后尿潴留的发生情况,对可能影响男性直肠癌根治术后尿潴留的指标进行单因素分析和多因素Logistic分析。结果:236例男性患者行直肠癌根治术,术后有24例发生尿潴留,术后尿潴留的发生率为10.2%。单因素分析显示,年龄≥65岁、低位肿瘤、腹会阴联合切除手术、术后首次拔除尿管时间<4天与男性直肠癌根治术后尿潴留的发生相关(P<0.05)。多因素Logistic回归分析显示,腹会阴联合切除手术是男性直肠癌根治术后尿潴留发生的独立危险因素(OR=10.886,P<0.05)。结论:腹会阴联合切除手术是男性直肠癌根治术后尿潴留发生的独立危险因素。行直肠癌根治术前,应筛选可能出现术后尿潴留的高危患者,并采取合理的预防措施,以期减少术后尿潴留的发生。Objective:To analyze the risk factors of urinary retention after radical resection for rectal cancer in male.Methods:The clinical data of 236 male patients with rectal cancer who underwent radical resection in our hos-pital from July 2013 to June 2021 were retrospectively analyzed.The incidence of postoperative urinary retention was recorded,and the possible factors influencing the occurrence of postoperative urinary retention were analyzed by univa-riate analysis and multivariate logistic regression analysis.Results:236 male patients underwent radical resection of rectal cancer,24 cases had postoperative urinary retention,and the incidence of postoperative urinary retention was 10.2%.Univariate analysis showed that age≥65 years old,low rectal cancer,abdominal perineal resection and post-operative removal of catheter for<4 days were associated with the incidence of urinary retention after radical resec-tion of rectal cancer(P<0.05).Multivariate Logistic analysis showed that abdominal perineal resection was an inde-pendent risk factor for urinary retention after radical resection for rectal cancer(OR=10.886,P<0.05).Conclu-sion:Abdominal perineal resection was an independent risk factor for urinary retention after radical resection for rectal cancer in male.The patients should be screened for high-risk urinary retention after radical resection of rectal canc-er,and reasonable preventive measures should be taken to reduce postoperative urinary retention.

关 键 词：男性 直肠肿瘤 尿潴留 多因素分析 

分 类 号：R735.37[医药卫生—肿瘤]