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首页> 外文期刊>Nepal Journal of Obstetrics and Gynaecology >A randomized controlled trial comparing short-term versus long-term catheterization after vaginal prolapse surgery
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A randomized controlled trial comparing short-term versus long-term catheterization after vaginal prolapse surgery

机译：一项比较阴道脱垂手术后短期和长期导管插入术的随机对照试验

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Normal 0 false false false MicrosoftInternetExplorer4 st1:*{behavior:url(#ieooui) } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} Aim: To determine whether short term bladder catheterisation for 24 hrs after vaginal hysterectomy for prolapse would be more advantageous to routinely practiced 3 days catheterisation. Method: Randomized comparative study was done as thesis topic in Gynaecological Ward of TU Teaching Hospital, Maharajgunj, Kathmandu from 30th October 2004 to 2nd November 2005. A total of 100 women were included in this study. Prior to surgery at OT table, and before giving prophylactic antibiotics urine samples were collected from metal catheter for routine analysis. They were randomized into two groups. In groups 1 (n=50) transurethral catheter was removed after 24 hrs of surgery. In group 2 (n=50) catheter was removed on 3rd post operative day. Urine culture was taken before removal of the catheter. Residual volume of urine after the first voiding was measured by transabdominal ultrasound. Recatheterisation for three more days was considered whenever residual volume exceeded 200ml. Result: Recatheterisation was not needed in either groups for residual volume >200ml. Regarding recatheterisation 4 needed them after 2-3 hrs of first voiding. Among these 4 women, cause of urinary retention was accountable for pelvic haematoma leading to pelvic abscess in one case, which belonged to group 1 where as urinary tract infection was responsible for urinary retention in group 2. There were no explainable causes in two cases. But urinary tract infection was seen in two cases in group 1 and 11 cases in group 2 (P value 0.017). Conclusion: This study has shown that short term catheterisation is more beneficial in terms of lower incidence of urinary tract infection (2 Vs 11) and related febrile morbidity as compared to long term catheterisation. Key words: Uterovaginal prolapse, pelvic floor repair with vaginal hysterectomy, catheterisation. doi:10.3126jog.v2i1.1473 N. J. Obstet. Gynaecol Vol. 2, No. 1, p. 29 - 34 May -June 2007
机译：正常0否否否MicrosoftInternetExplorer4 st1 ：* {behavior：url（#ieooui）} / *样式定义* / table.MsoNormalTable {mso-style-name：“ Table Normal”; mso-tstyle-rowband-size：0; mso-tstyle-colband-size：0; mso-style-noshow：是; mso-style-parent：“”; mso-padding-alt：0cm 5.4pt 0cm 5.4pt; mso-para-margin：0cm; mso-para-margin-bottom：.0001pt; mso分页：寡妇孤儿;字体大小：10.0pt; font-family：“ Times New Roman”; mso-ansi-language：＃0400; mso-fareast-language：＃0400; mso-bidi-language：＃0400;}目的：确定阴道子宫切除术后脱垂后24小时短期膀胱导管插入是否比常规练习3天导管插入更为有利。方法：从2004年10月30日至2005年11月2日，在加德满都马哈拉甘尼的TU教学医院妇科病房中进行随机比较研究作为研究主题。该研究共包括100名妇女。在OT桌手术前，以及在给予预防性抗生素之前，从金属导管中收集尿液样本进行常规分析。他们被随机分为两组。在第1组（n = 50）中，手术24小时后拔出了经尿道导管。在第2组（n = 50），在术后第3天取下导管。在移开导管之前进行尿培养。通过腹腔超声测量第一次排尿后的尿液残留量。每当残留量超过200毫升时，考虑再行三天的再手术。结果：两组中残留量> 200ml的患者均无需再行复健。关于再手术，第一次排尿2-3小时后需要4。在这4名妇女中，尿retention留的原因是导致盆腔血肿导致盆腔脓肿的原因之一，属于第1组，其中尿路感染是导致第2组尿retention留的原因。在两例中，没有可解释的原因。但第1组有2例尿路感染，第2组有11例尿路感染（P值0.017）。结论：这项研究表明，与长期导管术相比，短期导管术对降低尿路感染的发生率（2 Vs 11）和相关的发热性疾病更为有益。关键词：子宫阴道脱垂，阴道子宫切除术盆底修复术，导管插入术。 doi：10.3126 / njog.v2i1.1473 N. J. Obstet。妇产科杂志2，第1号，第1页。 5月29日至34日-2007年6月

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