三种不同膀胱排空法应用于妇科腹腔镜手术的对比分析

目的探讨妇科腹腔镜手术安全、有效、并发症少及病人舒适感好的膀胱排空法。方法将204例患者随机分为三组：自然排空膀胱组（I组）、导尿不留置尿管组（II组）及常规留置尿管组（III组），每组68例，比较三组患者膀胱充盈情况、出院时间、尿潴留出现率、术后尿常规及其他并发症情况。结果三组患者均顺利完成手术，术中无出现泌尿系损伤。三组患者术中膀胱充盈情况比较垆〉0．05），差异无显著性。I组患者因采用自然膀胱排空法，避免了导尿管所引起的一系列不适感及并发症，且出院时间优于Ⅱ组和Ⅲ组。Ⅱ组患者尿潴留出现率、膀胱刺激症状、发生尿路感染等与Ⅲ组患者比较垆〈0．05），差异有显著性。结论实施手术时间较短的妇科腹腔镜手术时采用自然排空膀胱法，是安全、有效、并发症少及患者舒适度好的方法，值得在临床推广使用。

Comparative analysis on three different methods of bladder emptying Comparative analysis of lsparoscopic surgery

Objective Oflaparoscopic surgery is safe,effective,less complications and patient comfort and good bladder emptying method.Methods The 204 patients were randomly divided into 3 groups natural emptying the bladder group (Ⅰ group),catheterization is not indwelling catheter group (Ⅱgroup) and conventional indwelling catheter group (Ⅲ group) 68 cases,the 3 groups The situation in patients with bladder filling,discharge time,the occurrence rate of urinary retention,urine and other postoperative complications.Results 3 patients were successfully operated,no intraoperative urinary tract injury occurred.Patients in group 3 compared to the situation of bladder filling(P＞ 0.05),not statistically significant.Group Ⅰ method for using natural bladder emptying,caused by catheter to avoid the discomfort and a series of complications,and discharge times better than the Ⅱ and Ⅲ.Rate of urinary retention occurred in group Ⅱ patients,bladder irritation,urinary tract infection occurred in patients compared with group Ⅲ (P ＜ 0.05),with statistical significance.Conclusion Shorter the surgery when laparoscopic surgery method using natural emptying of the bladder,is safe and effective with few complications and good patient comfort,it is worth in clinical use.