宫颈癌根治术后并发尿潴留的临床干预及效果分析

目的对宫颈癌根治术后尿潴留的防治进行探讨。方法对在我院首次接受宫颈癌根治术的80例患者，随机分为实验组和对照组各40例。实验组采用术后第3天开始进行膀胱冲洗，第5天进行提肛训练和个体排尿训练，拔管时预留膀胱冲洗液，拔管后高锰酸钾溶液坐浴等综合措施；对照组按常规方法留置尿管。两组患者术后留置尿管时间均为8-10天，拔除尿管6—7h后测残余尿量。结果拔除尿管后实验组发生尿潴留2例，再置管率为5．0％；对照组发生尿潴留13例，再置管率为32．5％。两组患者在排尿顺畅程度、残余尿量、尿潴留的发生率有显著性差异。结论对宫颈癌根治术后，运用综合干预措施，可促进膀胱功能恢复，预防尿潴留发生。

Treatment and Effect Analysis on Complicating Uroschesis after Radical Correction of Uterine Cervix Cancer

Objective To investigate the prophylaxis and treatment to the complicating uroscliesis after the radical correction of uterine cervix cancer.Methods We choose 80 cases with uterine cervix cancer that were treated by the first radical correction and divide randomly into 2 groups of 40 cases of experiment and control.The experimental group are treated by the bladder washout 3 days after operation and the function training of the levator ani muscle and the individual training of emiction 5 days after operation,we remain some liquid of bladder washout and demibain in the liquor potassic permanganate after pull out the urethral catheter.The control group are treated by the rontine method.The control group are treated by the routine method of remaining the urethral catheter.The two groups time of remaining the urethral catheter both are 8~10 days.Then we measure the remaining quantity of the urine in the bladder 6~7 hours after pulling out the urethral catheter.Results The experimental group has 2 cases of uvoschesis and the rate 5% of urethral catheterization again.But the control group has 13 cases and the rate 32.5%.There's a significant difference between the experimental group and the control group in the degree of smooth emiction and the remaining quantity of urine and the rate of uroschesis.Conclusion We can adopt the general methods on the patients after the radical correction of uterine cervix cancer to improve the convalescence of the bladder's function and decrease the rate of uroschesis.