Advance Search
JIA Yujian, YU Jie, LIU Yan, WANG Hui, ZHONG Li, GAN Xiaoqin. Efficacy of gynecological single-port laparoscopic surgery without placing catheters in the daytime[J]. Journal of Clinical Medicine in Practice, 2022, 26(9): 73-75. DOI: 10.7619/jcmp.20213833
Citation: JIA Yujian, YU Jie, LIU Yan, WANG Hui, ZHONG Li, GAN Xiaoqin. Efficacy of gynecological single-port laparoscopic surgery without placing catheters in the daytime[J]. Journal of Clinical Medicine in Practice, 2022, 26(9): 73-75. DOI: 10.7619/jcmp.20213833
shu

Efficacy of gynecological single-port laparoscopic surgery without placing catheters in the daytime

  • Department of Gynecology, Chengdu Women's and Children's Central Hospital in Sichuan Province, Chengdu, Sichuan, 610014

More Information
  • Received Date: September 23, 2021
  • Available Online: May 09, 2022
  • Published Date: May 14, 2022
    Graphical Abstract
    • Abstract
  •   Objective  To explore the efficacy and safety of gynecological single-port laparoscopic surgery without placing catheters in the daytime.
      Methods  A total of 129 patients with laparoscopic surgery in the Ward of Gynecological Daytime Operation were selected and randomly divided into observation group (n=59) without placing catheters and control group (n=70) with placing catheters during operation and removing catheters at the end of operation. Single-port laparoscopic technique was adopted in all the operations. The incidence of urinary irritation symptoms (the main outcome indicator) and secondary outcome indicators such as urinary tract infection rate, urinary retention rate, incidence of bladder injury, time to first getting out of bed, time to first exhaust and time to first urination were compared between two groups.
      Results  The incidence of postoperative urinary irritation symptoms in the observation group was 8.47%, which was significantly lower than 21.43% in the control group (P < 0.05). There were no significant differences in the time to first getting out of bed, time to first exhaust and time to first urination between the two groups (P>0.05). No urinary retention, urinary tract infection and bladder injury were observed in both groups.
      Conclusion  In the gynecological single-port laparoscopic surgery in the daytime for exfoliation of ovarian cyst, exfoliation of hysteromyoma and fallopian tube related diseases, it is safe and effective to not to place catheters during operation, which can reduce the incidence of postoperative urinary tract irritation.
    • FullText(HTML)
    • References (17)
  • [1]
    WEBER D J, SICKBERT-BENNETT E E, GOULD C V, et al. Incidence of catheter-associated and non-catheter-associated urinary tract infections in a healthcare system[J]. Infect Control Hosp Epidemiol, 2011, 32(8): 822-823. doi: 10.1086/661107
    [2]
    LO E, NICOLLE L E, COFFIN S E, et al. Strategies to prevent catheter-associated urinary tract infections in acute care hospitals: 2014 update[J]. Infect Control Hosp Epidemiol, 2014, 35(5): 464-479. doi: 10.1086/675718
    [3]
    贺艳艳, 唐葵, 袁舸. 留置导尿患者尿路感染的相关因素分析[J]. 中华医院感染学杂志, 2015, 25(1): 122-124. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201501048.htm
    [4]
    薄海欣, 葛莉娜, 刘霞, 等. 加速康复妇科围手术期护理中国专家共识[J]. 中华现代护理杂志, 2019, 25(6): 661-668.
    [5]
    GRIFFITHS R, FERNANDEZ R. Policies for the removal of short-term indwelling urethral catheters[J]. Cochrane Database Syst Rev, 2005(1): CD004011.
    [6]
    赵舜珍, 王沛如, 钟天豪, 等. 全麻胸腔镜下肺楔形切除术不留置导尿管可行性研究[J]. 护理学杂志, 2020, 35(12): 31-33. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202012010.htm
    [7]
    彭高峰, 金艳南, 徐向峰, 等. 腰-硬联合麻醉下不留置导尿行单侧全膝关节置换术[J]. 国际骨科学杂志, 2018, 39(2): 118-121. https://www.cnki.com.cn/Article/CJFDTOTAL-GWGK201802015.htm
    [8]
    钟尚洁, 宁宁, 李佩芳, 等. 加速康复模式下脊柱外科手术不安置尿管患者术后排尿现状调查分析[J]. 华西医学, 2020, 35(7): 851-854. https://www.cnki.com.cn/Article/CJFDTOTAL-HXYX202007018.htm
    [9]
    徐志华, 杨梅, 邱舫, 等. 肺癌患者围手术期无痛性留置导尿管的前瞻性队列研究[J]. 中国胸心血管外科临床杂志, 2016, 23(4): 323-327. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXYX201604003.htm
    [10]
    中华医学会妇产科学分会加速康复外科协作组. 妇科手术加速康复的中国专家共识[J]. 中华妇产科杂志, 2019, 54(2): 73-79. https://www.cnki.com.cn/Article/CJFDTOTAL-SDZY202106001.htm
    [11]
    姜慧萍, 陆美英, 沈霞萍, 等. 宫外孕腹腔镜手术患者不留置导尿的护理干预[J]. 护士进修杂志, 2010, 25(23): 2156-2157. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201023026.htm
    [12]
    唐玲, 李文洲, 吴伶俐. 术前未留置导尿的宫外孕患者术后护理干预疗效分析[J]. 创伤与急诊电子杂志, 2015, 3(4): 76-78. https://www.cnki.com.cn/Article/CJFDTOTAL-CJDZ201504020.htm
    [13]
    徐丽莉, 李旭萍. 术前不留置导尿对宫外孕腹腔镜手术的影响及护理[J]. 内蒙古中医药, 2017, 36(S2): 208-209. https://www.cnki.com.cn/Article/CJFDTOTAL-NZYY2017Z2161.htm
    [14]
    TEELUCKDHARRY B, GILMOUR D, FLOWERDEW G. Urinary tract injury at benign gynecologic surgery and the role of cystoscopy: a systematic review and meta-analysis[J]. Obstet Gynecol, 2015, 126(6): 1161-1169. doi: 10.1097/AOG.0000000000001096
    [15]
    BLACKWELL R H, KIRSHENBAUM E J, SHAH A S, et al. Complications of recognized and unrecognized iatrogenic ureteral injury at time of hysterectomy: a population based analysis[J]. J Urol, 2018, 199(6): 1540-1545. doi: 10.1016/j.juro.2017.12.067
    [16]
    DEFFIEUX X, BALLESTER M, COLLINET P, et al. Risks associated with laparoscopic entry: guidelines for clinical practice from the French College of Gynaecologists and Obstetricians[J]. Eur J Obstet Gynecol Reprod Biol, 2011, 158(2): 159-166.
    [17]
    NEVINS E J, NEVINS E G, MOORI P L, et al. Urethral catheterization is not necessary during nononcological laparoscopic pelvic surgery[J]. J Patient Saf, 2019, 15(4): e21-e23.
    • Related Articles

  • Related Articles

    [1]PENG Shunxian, TAO Hua, CHEN Xiaofeng, PENG Jifang, JIANG Shudi. Application value of C-reactive protein to albumin ratio combined with grip strength and serum prealbumin in patients with esophageal cancer[J]. Journal of Clinical Medicine in Practice, 2024, 28(17): 15-19, 26. DOI: 10.7619/jcmp.20242187
    [2]ZHANG Wenjing, GAN Jianhe. Predictive value of age combined with albumin-bilirubin score for overt hepatic encephalopathy after transjugular intrahepatic portosystemic shunt[J]. Journal of Clinical Medicine in Practice, 2024, 28(5): 53-58. DOI: 10.7619/jcmp.20233228
    [3]FENG Feifei, WU Jiayu, JIANG Lili, XU Yan. Application of combined detection of red blood cell distribution width, ratio of C-reactive protein to albumin and albumin-to-creatinine ratio in predicting complications of type 2 diabetes[J]. Journal of Clinical Medicine in Practice, 2023, 27(15): 45-49. DOI: 10.7619/jcmp.20223479
    [4]HAN Xiuping, TAN Juan, HE Yumei. Levels of microRNA-34a and hypoxic inducible factor-1α in type 2 diabetes patients with different urinary albumin excretion rates and their significance[J]. Journal of Clinical Medicine in Practice, 2023, 27(5): 114-118. DOI: 10.7619/jcmp.20221742
    [5]GU Shiming, ZHANG Yongmao, ZHANG Xinping. Relationships of preoperative serum ferritin, albuminand ratio of ferritin to albumin with prognosis after hepatectomy in patients with hepatocellular carcinoma[J]. Journal of Clinical Medicine in Practice, 2022, 26(15): 65-68. DOI: 10.7619/jcmp.20220518
    [6]ZHAO Dandan. Effect of targeted nursing for ovarian cancer treated by paclitaxel albumin combined with cisplatin[J]. Journal of Clinical Medicine in Practice, 2018, (2): 107-109,122. DOI: 10.7619/jcmp.201802032
    [7]YANG Jiying, CAI Lin. Application value of serum unconjugated bilirubin and albumin detections in children with neonatal jaundice[J]. Journal of Clinical Medicine in Practice, 2017, (7): 89-91,98. DOI: 10.7619/jcmp.201707024
    [8]LI Weiwei, LAI Yan, FENG Shengfang, LI Ya, HE Shanhui. Clinical effect of blue light irradiation combined with albumin in treatment of neonatal jaundice[J]. Journal of Clinical Medicine in Practice, 2017, (1): 94-96. DOI: 10.7619/jcmp.201701028
    [9]NIE Jingtao. Efficacy of fangji huangqi decoction in treatment of patients with primary nephrotic syndrome in edema period and its influence on 24 h urinary protein,serum albumin and blood lipid[J]. Journal of Clinical Medicine in Practice, 2017, (1): 48-51. DOI: 10.7619/jcmp.201701014
    [10]ZENG Xiyun, GAO Xue. Study of the relationship between ratio of urinary albumin/creatinine and retinopathy in patients with type 2 diabetes[J]. Journal of Clinical Medicine in Practice, 2014, (3): 88-89,92. DOI: 10.7619/jcmp.201403029

  • Cited by

    Periodical cited type(63)

    1. 徐丹，余芳，任刚. 腺样体肥大患儿临床症状及肺通气功能影响因素分析. 中国妇幼保健. 2025(04): 703-706 .
    2. 儿童扁桃体腺样体低温等离子射频消融术规范化治疗技术标准. 临床耳鼻咽喉头颈外科杂志. 2025(02): 97-109 .
    3. 郜思远，乔孝武，杨军，彭栋梁. 艾司氯胺酮联合切口周围局部浸润麻醉对全麻腹股沟疝修补术患儿苏醒期躁动和疼痛-应激因子的影响. 海南医学. 2025(05): 693-698 .
    4. 程默羽，汪旭，高峰. 低温等离子体系统治疗扁桃体、腺样体肥大的效果探讨. 中外医药研究. 2025(01): 22-24 .
    5. 陈荣. 低温等离子辅助下扁桃体及腺样体切除术治疗扁桃体肥大伴腺样体肥大的疗效观察. 生命科学仪器. 2025(04): 148-150 .
    6. 杨凤山. 低温等离子体系统在扁桃体/腺样体肥大患者手术治疗中的应用价值分析. 中国医学文摘(耳鼻咽喉科学). 2024(01): 27-29+46 .
    7. 崔学英，宋云红. 低温等离子手术治疗扁桃体腺样体肥大的临床疗效研究. 中国医学文摘(耳鼻咽喉科学). 2024(01): 124-126 .
    8. 谢婷，吴芬. 术中积极性暗示心理护理干预对扁桃体切除术患者恐惧情绪及配合度的影响. 中国医学文摘(耳鼻咽喉科学). 2024(01): 224-227 .
    9. 时恩来，方怡. 低温等离子与常规电刀在软腭黏膜良性病变切除中的应用效果比较. 中国实用医药. 2024(02): 50-53 .
    10. 兰泮丽，罗兰，李菲. 小儿低温等离子腺样体切除术术后出血情况及危险因素分析. 中国妇幼保健. 2024(07): 1300-1303 .
    11. 王斯燕. 低温等离子体系统在扁桃体/腺样体肥大患者手术治疗中的应用价值分析. 中国医学文摘(耳鼻咽喉科学). 2024(02): 91-94 .
    12. 朱金枝，张金星，陈巧婷. 鼻内镜下腺样体等离子切除术与腺样体刮除术在腺样体肥大患儿中的效果对比及对鼻腔黏膜纤毛清除功能的影响. 慢性病学杂志. 2024(04): 599-602 .
    13. 陈文龙，杜志宏. 鼻内镜下低温等离子射频消融术治疗儿童扁桃体及腺样体肥大的效果评价. 现代医学与健康研究电子杂志. 2024(07): 142-144 .
    14. 金名花. 预防性应用小剂量艾司氯胺酮对行扁桃体腺样体手术患儿全麻苏醒期躁动的影响. 天津药学. 2024(02): 47-50 .
    15. 李峰，张萍，史欣. 鼻内镜下低温等离子切除术治疗儿童腺样体肥大的临床疗效及对患儿创伤应激和并发症的影响. 山西医药杂志. 2024(06): 418-422 .
    16. 张艳，王慧. 低温等离子辅助下扁桃体及腺样体切除术治疗扁桃体肥大伴腺样体肥大患儿的疗效观察. 现代医学与健康研究电子杂志. 2024(08): 41-45 .
    17. 宋云红，崔学英. 扁桃体摘除联合鼻内镜下腺样体切除治疗小儿鼾症的临床疗效. 中国医学文摘(耳鼻咽喉科学). 2024(03): 13-16 .
    18. 钱金吉，林优优，林贺. 物理抗菌网液在儿童低温等离子扁桃体切除术后康复中的应用效果. 中国医药导报. 2024(15): 95-98 .
    19. 陈聪梅，林小玲，卓翠芳，邓美旋. 临床护理路径在围手术期治疗患儿扁桃体伴腺样体肥大中的应用效果. 中国医药指南. 2024(16): 167-169 .
    20. 王勤，杜志宏. 鼻内镜下低温等离子扁桃体腺样体切除术改善鼾症患儿临床症状的效果评价. 现代医学与健康研究电子杂志. 2024(09): 51-53 .
    21. 张芬芬，潘霞. 鼻内镜辅助腺样体低温等离子消融术与电动切割器切除术治疗Ⅰ～Ⅱ度腺样体肥大患儿的效果对比. 中国妇幼保健. 2024(13): 2431-2434 .
    22. 朱海燕，廖天义，廖俊丰，朱汉辉. 低温等离子射频消融术治疗小儿鼾症的效果观察. 中国内镜杂志. 2024(06): 60-66 .
    23. 侍海霞. 两种切除术对扁桃体肥大伴腺样体肥大患儿围术期指标及并发症的影响. 系统医学. 2024(10): 116-119 .
    24. 龙松良，张霞平. 鼻内镜下低温等离子腺样体消融术治疗小儿腺样体肥大疗效观察. 临床小儿外科杂志. 2024(06): 578-583 .
    25. 徐芬芳，张帆，卢婷. 基于趣味视频互动式健康宣教用于微创疝气手术患儿对不良情绪及满意度的影响. 国际护理学杂志. 2024(14): 2625-2629 .
    26. 李振刚，强学全，张宝明. 鼻内镜辅助三线减张鼻中隔矫正术治疗鼻中隔偏曲患者的效果. 医学理论与实践. 2024(15): 2599-2601 .
    27. 王振勇，吴伟，梁子聪. 鼻内镜下腺样体低温等离子射频消融术治疗小儿鼾症合并腺样体肥大的效果及安全性评价. 黔南民族医专学报. 2024(02): 160-164 .
    28. 孙梅英. 低温等离子射频消融术对小儿扁桃体肥大合并鼾症的疗效研究. 临床研究. 2024(08): 27-30 .
    29. 邵滨峰，王佳，张世涛. 鼻内窥镜下低温等离子扁桃体和腺样体切除术配合中药超声雾化治疗儿童鼾症临床疗效. 实用中医药杂志. 2024(08): 1584-1587 .
    30. 李世伟，田秀芬，窦倩雯. 微创等离子消融术在扁桃体腺样体肥大患者治疗中的应用及对其免疫能力及氧化应激水平的影响. 临床医学工程. 2024(09): 1043-1044 .
    31. 周志存，林春裕. 扁桃体腺样体肥大患儿使用低温等离子扁桃体腺样体切除术进行治疗效果分析. 中国医药指南. 2024(26): 81-84 .
    32. 黄丹华. 低温等离子手术治疗儿童腺样体肥大的疗效分析. 生命科学仪器. 2024(05): 161-162+165 .
    33. 张良. 低温等离子手术治疗扁桃体腺样体肥大的临床效果分析. 基层医学论坛. 2024(28): 57-59 .
    34. 高洁，陈娟，邱宏，曾鸣辉，饶琰. CICARE沟通模式在儿童扁桃体腺样体术前访视中的应用. 中国医学创新. 2024(28): 91-95 .
    35. 李敬，朱新炜，黄波，张华，臧睿. 低吗啡综合镇痛方式在术后镇痛领域的临床应用. 科技导报. 2024(19): 113-118 .
    36. 袁翠云，陈莉. 低温等离子扁桃体切除术后再出血的高危因素及预防性策略分析. 全科护理. 2024(22): 4334-4337 .
    37. 刘益建，王军民，孙浩，刘昱秀，周辉. 加减疏风清热汤在扁桃体伴腺样体肥大切除术中的应用. 辽宁中医杂志. 2024(11): 103-106 .
    38. 李界文，刘小晶，吴献林. 0°鼻内镜下经口鼻联合进路动力系统配合低温等离子切除术治疗小儿扁桃体及腺样体肥大的效果及对患儿疼痛、炎症反应的影响. 中国实用医药. 2024(21): 65-67 .
    39. 王玲玲. 基于临床护理路径的围术期护理对低温等离子切除术的扁桃体腺样体肥大患儿的临床效果观察. 现代养生. 2024(23): 1790-1792 .
    40. 蔡继壹，林炳煌，王少将，孙佳琳，彭凤雪. TCRF与ETA治疗腺样体肥大患者的效果观察. 中国医疗器械信息. 2024(22): 66-68 .
    41. 张明德，张秋敏. 低温等离子射频消融术对扁桃体腺样体肥大患儿疼痛程度、发音参数的影响. 反射疗法与康复医学. 2024(13): 52-55 .
    42. 缪陶林，韩晓雨. 艾司氯胺酮对采用低温等离子手术治疗的腺样体肥大患儿苏醒期躁动及疼痛程度的影响. 反射疗法与康复医学. 2024(13): 99-102 .
    43. 李杰才，黄晓莲，温柏林. 腺样体非轮廓化切除术与轮廓化切除术的对比分析. 系统医学. 2024(22): 89-92 .
    44. 敖红敏，余子兰，钟康华，李桃根，张丽卫. 改良低温等离子法对扁桃体切除患者围手术期指标、血清炎症因子及生活质量的影响. 中国医学创新. 2024(36): 34-38 .
    45. 邱科金，朱炼兵，丁雅婷，蔡金钰，谢树居. 低温等离子射频消融术联合不同温度盐水鼻腔冲洗在腺样体肥大患儿治疗中的应用效果. 中国卫生标准管理. 2024(23): 27-30+35 .
    46. 崔晓敏. 预防性应用艾司氯胺酮在行扁桃体、腺样体切除术患儿中的价值分析. 实用中西医结合临床. 2023(02): 97-99+107 .
    47. 魏锋. 鼻内镜下动力系统与低温等离子消融术在儿童腺样体手术中的疗效比较. 名医. 2023(03): 72-74 .
    48. 张群，陈明清. 低温等离子系统联合腺样体扁桃体切除术在阻塞性睡眠呼吸暂停低通气综合征患儿中的应用分析. 中国校医. 2023(05): 369-372 .
    49. 刘晓峰，杜娟，王登茂，王亚芳，崔莉，宋英鸾，耿江桥. 血清白三烯C4、D4及C-C趋化因子配体21水平与腺样体肥大患儿腺样体肥大程度及预后的相关性. 川北医学院学报. 2023(07): 927-930 .
    50. 牛海珍，黄辉，解凤磊，王少华，潘瑞，盖莹莹，李梦思. 4～8℃生理盐水对等离子辅助下扁桃体腺样体切除患儿出血和疼痛的影响. 安徽医学. 2023(07): 848-851 .
    51. 甘育涛，陈佳青，彭攀. 氢吗啡酮与布托啡诺静脉自控镇痛对骨科术后患者疼痛递质、炎性因子及氧化应激反应的影响比较. 临床合理用药. 2023(21): 114-117 .
    52. 李正民，郑碧云，梁珍婵. 玉屏风散颗粒联合孟鲁司特钠与糠酸莫米松鼻喷雾治疗腺样体肥大的效果. 中国当代医药. 2023(20): 143-146 .
    53. 曹文慧，高英英，雷永超，黄亦男. 鼻内镜下低温等离子切除术对鼾症患儿临床症状的影响及安全性分析. 现代医学与健康研究电子杂志. 2023(16): 10-12 .
    54. 刘冰，王德霖. 扁桃体腺样体肥大患儿使用低温等离子扁桃体腺样体切除术进行治疗的临床效果. 中国医学文摘(耳鼻咽喉科学). 2023(05): 17-20 .
    55. 郑昌华. 以家庭为中心的护理模式在内镜下鼻腺样体肥大切除术后患儿中的应用. 中国医药指南. 2023(27): 184-186 .
    56. 王晶，王晓莹，吴倩. 专项护理联合疼痛干预在行日间手术扁桃体腺样体肥大患儿中的应用. 中西医结合护理(中英文). 2023(09): 73-75 .
    57. 郭帅. 低温等离子射频消融术治疗儿童扁桃体腺样体肥大的效果. 中国民康医学. 2023(21): 57-60 .
    58. 杨子璐. 鼻咽部CT对儿童腺样体肥大和病情程度的诊断价值. 影像研究与医学应用. 2023(18): 63-65 .
    59. 周东杰，郝永波. 分析鼻内镜下动力系统腺样体切除术在腺样体肥大患儿中的应用效果. 系统医学. 2023(17): 60-63 .
    60. 王智勇，朱峰，梁滔，夏利辉，莫平. 小儿扁桃体低温等离子射频切除术行ERAS对患儿VAS及血清免疫球蛋白的影响. 中国医师杂志. 2023(12): 1815-1819 .
    61. 赵月菊，历建强. 低温等离子扁桃体切除术对慢性扁桃体炎患者的治疗有效性研究. 中外医疗. 2023(31): 37-40 .
    62. 孙成营. 鼻内镜下低温等离子消融术治疗腺样体肥大的效果研究. 中华养生保健. 2023(13): 46-49 .
    63. 陈晓觉. 鼻内镜下低温等离子切除术治疗腺样体肥大患儿的疗效. 中国医疗器械信息. 2022(22): 52-54 .

    Other cited types(1)

Catalog

    Get Citation
    PDF
    XML
    Article views (218) PDF downloads (15) Cited by(64)
    Turn off MathJax
    Article Contents
    Abstract
    References
    Related Articles

    © 2020 《实用临床医药杂志》编辑部

    Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807

    苏公网安备 32100302010246号

    Supported by: Beijing Renhe Information Technology Co., Ltd.   Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return