B超监护宫腔镜手术术后泌尿系统状况分析

目的 对膀胱注液后B超监护宫腔镜手术术后泌尿系统状况进行病因学分析并总结治疗方法。方法 以B超监护下进行宫腔镜手术的69例患者为研究对象，记录手术时间和膀胱内需注入液体量，术后排空膀胱记录液体总量。术后了解患者排尿状况，并行尿常规检查。结果 平均手术时间为30．9min，术中膀胱内平均需注入液体量为289mL。术后尿检阴性且无排尿刺激症状的患者占81％；尿检阴性有排尿刺激症状者占6％：尿检阳性但无排尿刺激症状者占7％；尿检阳性且有排尿刺激症状者占6％。结论 手术时间越长术后出现泌尿系统异常的可能性就越大。膀胱的快速充盈和排空变化可能是导致排尿刺激症状的原因；术后联合使用抗生素及中西医结合治疗效果好。

Analysis of urinary system condition post hysteroscopy monitored by B-ultrasound

[Objective] To study and analysis of urinary system condition post hysteroscopy monitored by B-ultrasound after bladder liquid infusion. [Methods] 69 cases underwent hysteroscopy under B-ultrasound monitoring. To record the operation time and the total volume of liquid infused into bladder, the liquid volume evacuated from bladder post-operation. To perform routine urine test and realize urination condition post-operation. [Results] The average of operation time was 30.9 minutes, the average volume of liquid infused into bladder was 289mL. 81% of patients experienced negative urine test with no irritation symptom; 6% of patients had negative urine test with positive irritation symptom; 7% was positive urine test with no urine tract irritation symptom; 6% was positive urine test with urination irritation symptom. [Conclusion] The longer the operation procedure, the much more possibility to get urinay tract infection post surgery. The urination irritation may attribute to the neuron stimulated by fast engorgement and evacuation of bladder. Combination of antibiotics and traditional Chinese medicine will result satisfactory effect.