混合痔术后尿潴留的病因及治疗研究进展  

Etiology and treatment of urinary retention following mixed hemorrhoid surgery:a review

作　　者：熊艺(综述) 陈金兰(综述) 倪晶(综述) 王聪(综述) 徐利(审校)[1] XIONG Yi;CHEN Jinlan;NI Jing;WANG Cong;XU Li(Department of Anorectal Surgery,The First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou,Zhejiang 310006,China;The First School of Clinical Medicine,Zhejiang Chinese Medical University,Hangzhou,Zhejiang 310053,China)

机构地区：[1]浙江中医药大学附属第一医院肛肠外科,浙江杭州310006 [2]浙江中医药大学第一临床医学院,浙江杭州310053

出　　处：《预防医学》2025年第3期256-261,共6页China Preventive Medicine Journal

摘　　要：术后尿潴留是混合痔术后常见并发症,指术后膀胱内尿液无法正常排出,导致尿液滞留,不仅延长疾病术后恢复时间,增加医疗成本,还可能引发尿路感染、膀胱功能受损等问题。混合痔术后尿潴留发病机制复杂,涉及手术类型、麻醉方式、患者个体差异、术后疼痛管理及心理应激等多种因素。临床治疗方法多样,但疗效因人而异。本文通过检索2018—2024年的相关文献,分析混合痔术后尿潴留的病因,并总结物理治疗、镇痛技术等非药物治疗方法和抗胆碱酯酶药物、选择性α受体阻滞剂、镇痛药物等药物治疗的干预措施及机制,为预防与治疗混合痔术后尿潴留提供参考。Postoperative urinary retention is a common complication after mixed hemorrhoid surgery,referring to the inability of urine in the bladder to be normally expelled,leading to urine retention.This condition not only prolongs the postoperative recovery time and increases medical costs,but may also cause problems such as urinary tract infections and bladder dysfunction.The pathogenesis of urinary retention after mixed hemorrhoid surgery is complex,involving multiple factors such as the type of surgery,anesthesia method,individual differences among patients,postoperative pain management and psychological stress.Although there are various clinical treatment methods,their efficacy varies among individuals.This article reviews relevant literature from 2018 to 2024,analyzing the etiology of urinary retention after mixed hemorrhoid surgery.It summarizes the intervention measures and mechanisms of non-pharmacological treatments,such as physical therapy and analgesic techniques,as well as pharmacological treatments,including anticholinesterase drugs,selective α-receptor blockers and analgesics drugs,so as to provide the reference for the prevention and treatment of urinary retention after mixed hemorrhoid surgery.

关 键 词：混合痔 尿潴留 病因 治疗 

分 类 号：R473.6[医药卫生—护理学]