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首页> 外文期刊>Surgical Endoscopy >High incidence of acute urinary retention associated with immediate catheter removal after laparoscopic Nissen fundoplication.
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High incidence of acute urinary retention associated with immediate catheter removal after laparoscopic Nissen fundoplication.

机译：腹腔镜尼森胃底折叠术后立即拔除导管导致的急性尿retention留的发生率很高。

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摘要

BACKGROUND: Laparoscopic Nissen fundoplication, a common treatment for medically refractory gastroesophageal reflux disease, is associated with a high rate of postoperative urinary retention. This study explored the incidence of urinary retention and external factors. METHODS: A retrospective chart review was performed for inpatient records of patients who underwent laparoscopic Nissen fundoplication for the treatment of reflux disease from 1 December 2004 through 31 December 2008 at a community teaching medical center. RESULTS: A review of 111 inpatient records found a 21.6% (n=24) incidence of acute urinary retention after laparoscopic Nissen fundoplication. Acute urinary retention was not significantly associated with a longer hospital stay (2.39 vs. 2.79 days). More importantly, 79.2% (n=19) of the patients with postoperative acute urinary retention had removal of their Foley catheters immediately after surgery. CONCLUSIONS: Urinary retention rates after laparoscopic Nissen fundoplication may be lowered by postponing the removal of the Foley catheter for several hours.
机译：背景：腹腔镜尼森胃底折叠术是医学上难治性胃食管反流疾病的常见治疗方法，其术后尿retention留率很高。这项研究探讨了尿retention留的发生率和外部因素。方法：对社区教学医学中心从2004年12月1日至2008年12月31日接受腹腔镜Nissen胃底折叠术治疗反流疾病的患者的住院记录进行回顾性图表回顾。结果：对111例住院记录的回顾发现，腹腔镜Nissen胃底折叠术后发生急性尿retention留的发生率为21.6％（n = 24）。急性尿retention留与住院时间较长没有显着相关性（2.39 vs. 2.79天）。更重要的是，术后急性尿retention留的患者中有79.2％（n = 19）在手术后立即移除了Foley导管。结论：腹腔镜尼森胃底折叠术后的尿retention留率可通过将Foley导管的拆除推迟数小时而降低。

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