甲状腺乳头状癌患者术前不予留置尿管效应研究

目的 减少甲状腺乳头状癌患者术后尿管相关不适感，促进康复。方法 将820例拟行全麻下甲状腺全切术的甲状腺乳头状癌患者分为对照组607例、观察组213例；对照组于全麻后留置尿管，观察组不予留置尿管。结果 观察组术后未发生尿管相关不适，对照组术后尿管相关不适发生率为87.5%；观察组术后首次下床时间显著早于对照组、睡眠质量显著高于对照组、住院时间及住院费用显著少于对照组（均P＜0.05）；两组均未发生尿路感染；对照组拔管后尿潴留重置尿管2例、观察组术后1例不能自排小便留置尿管。结论 对全麻下行甲状腺全切术的甲状腺乳头状癌患者，术前不予留置尿管可显著改善手术治疗体验，降低费用，促进康复。

Effects of non-indwelling urinary catheter before operation in patients with papillary thyroid carcinoma

Objective To reduce urinary catheter related discomfort in patients with thyroid papillary carcinoma (PTC) after surgery and promote recovery. Methods A total of 820 PTC patients who were scheduled for total thyroidectomy under general anesthesia were assigned to a urinary catheter indwelling group (control, n=607) and a non-indwelling group (n=213). Results Urinary catheter related discomfort did not occur in the non-indwelling group, but the incidence in the control group was 87.5%. The non-indwelling group started out-of-bed mobilization earlier, and had better quality of life, shorter length of hospital stay, and lower medical costs compared with the control group (all P<0.05). Both groups did not develop urinary tract infection. Two cases in the control group received recatheterization because of urinary retention after removal of the catheter and 1 case in the non-indwelling group received catheterization for voiding dysfunction. Conclusion Non-indwelling catheter before operation can improve surgical treatment experience of PTC patients receiving total thyroidectomy under general anesthesia, reduce medical costs and promote recovery.