中国实用妇科与产科杂志2024，Vol.40Issue(3)：261-266,6.DOI:10.19538/j.fk2024030102
盆底重建手术术后尿潴留的评估与处理
Evaluation and management of urinary reten-tion after pelvic floor reconstruction surgery
摘要
Abstract
Urinary retention is generally defined as increased post-void residual urine volume due to im-paired ability of bladder.However,there is no standard definition of postoperative urinary retention in clinic.Compared with other pelvic surgeries,urinary incon-tinence and prolapse surgeries had the highest inci-dence of POUR.Its clinical manifestations are varied.Physical examination can touch a full bladder.Early identification of POUR is critical,retrograde testing or voluntary urination is recommended for patients before discharge.For those who develop urinary retention,continuous catheterization or clean intermittent cath-eterization(CIC)is recommended until the symptoms are relieved.Drug therapy and non-drug intervention also have some effect on urinary retention.When POUR does not resolve spontaneously,more aggressive sur-gical management may be required.关键词
术后尿潴留/盆底重建手术/逆行排尿试验/主动排尿试验/清洁间歇性导尿术Key words
postoperative urinary retention/pelvic floor reconstruction surgery/retrograde urination test/active urination test/clean intermittent catheter-ization分类
医药卫生引用本文复制引用
张蕾,陆叶..盆底重建手术术后尿潴留的评估与处理[J].中国实用妇科与产科杂志,2024,40(3):261-266,6.基金项目
中央高水平医院临床科研业务费资助(北京大学第一医院青年临床研究专项)(2023YC20) （北京大学第一医院青年临床研究专项）
