Citation: | ZHANG Xiaolin, ZENG Yan, DING Xuefei, YU Junjie. The best drainage method of three-cavity catheter after robot-assisted laparoscopic radical prostatectomy[J]. Journal of Clinical Medicine in Practice, 2022, 26(15): 1-4. DOI: 10.7619/jcmp.20221202 |
To explore the best draining method of three-cavity catheter after robot-assisted laparoscopic radical prostatectomy.
A total of 120 patients with robot-assisted laparoscopic radical prostatectomy were selected and divided into observation group (n=60) and control group (n=60) according to operation sequence. The observation group received double channel drainage with three-cavity catheter after operation, while the control group received single channel drainage. The incidence conditions of acute urinary retention, anastomotic leakage and intestinal obstruction after operation were compared between the two groups; the indwelling time of pelvic drainage tube and three-cavity urinary catheter and the average postoperative hospital stay were compared between the two groups; the Self-rating Anxiety Scale (SAS) was used to evaluate the postoperative anxiety status of patients in both groups.
In the observation group, there were 12 cases of acute urinary retention occurred (20.00%), 5 cases of anastomotic leakage (8.33%) and 2 cases of intestinal obstruction (3.33%); in the control group, there were 25 cases of acute urinary retention (41.67%), 13 cases of anastomotic leakage (21.67%) and 5 cases of intestinal obstruction (8.33%). There were significant differences in incidence rates of acute urinary retention and anastomotic leakage between the two groups (P < 0.05). In the observation group, the indwelling time of pelvic drainage tube, the indwelling time of three-cavity catheter, the average postoperative hospital stay and the postoperative SAS score were (3.62±0.96) days, (11.98±3.26) days, (5.23±0.81) days and (56.73±4.65) points respectively, which were significantly shorter or lower than (4.53±1.65) days, (13.72±4.26) days, (6.25±1.99) days and (58.93±7.19) points in the control group (P < 0.05).
The best drainage method of three-cavity catheter after robot-assisted laparoscopic radical prostatectomy is double channel drainage, which can reduce the incidence rate of postoperative acute urinary retention and anastomotic leakage, shorten the indwelling time of pelvic drainage tube and three-cavity catheter, shorten the average postoperative hospital stay, and relieve the postoperative anxiety level of patients.
[1] |
孙逸凡, 汪维, 邱雪峰, 等. 一项关于机器人辅助腹腔镜下前列腺癌根治术后吻合口尿漏的研究[J]. 现代泌尿外科杂志, 2018, 23(7): 516-520. doi: 10.3969/j.issn.1009-8291.2018.07.009
|
[2] |
PAPAREL P, AKIN O, SANDHU J S, et al. Recovery of urinary continence after radical prostatectomy: association with urethral length and urethral fibrosis measured by preoperative and postoperative endorectal magnetic resonance imaging[J]. Eur Urol, 2009, 55(3): 629-637. doi: 10.1016/j.eururo.2008.08.057
|
[3] |
俞洋, 于丽航, 马雪莲, 等. 腹腔镜前列腺癌根治性手术围术期的护理[J]. 国际护理学杂志, 2012, 31(9): 1598-1601. doi: 10.3760/cma.j.issn.1673-4351.2012.09.022
|
[4] |
ZUNG W W. A self-rating depression scale[J]. Arch Gen Psychiatry, 1965, 12: 63-70. doi: 10.1001/archpsyc.1965.01720310065008
|
[5] |
段泉泉, 胜利. 焦虑及抑郁自评量表的临床效度[J]. 中国心理卫生杂志, 2012, 26(9): 676-679. doi: 10.3969/j.issn.1000-6729.2012.09.007
|
[6] |
BORBOROGLU P G, SANDS J P, ROBERTS J L, et al. Risk factors for vesicourethral anastomotic stricture after radical prostatectomy[J]. Urology, 2000, 56(1): 96-100. doi: 10.1016/S0090-4295(00)00556-2
|
[7] |
HUANG G, LEPOR H. Factors predisposing to the development of anastomotic strictures in a single-surgeon series of radical retropubic prostatectomies[J]. BJU Int, 2006, 97(2): 255-258. doi: 10.1111/j.1464-410X.2005.05908.x
|
[8] |
高占峰, 王伟, 于广海. 腹腔镜下前列腺根治性切除术中吻合技术对吻合口并发症的影响[J]. 中国医师进修杂志, 2016, 39(9): 832-837.
|
[9] |
孟俊宏. 三腔导尿管在泌尿外科长期留置尿管患者膀胱冲洗中的临床应用[J]. 中国医疗器械信息, 2019, 25(11): 126-127. doi: 10.3969/j.issn.1006-6586.2019.11.061
|
[10] |
张淑媛, 顾银燕. 高危前列腺癌患者行腹腔镜前列腺癌根治术的围手术期护理[J]. 护士进修杂志, 2016, 31(12): 1111-1114. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201612018.htm
|
[11] |
陈孝平, 汪建平, 赵继宗. 外科学[M]. 9版. 北京: 人民卫生出版社, 2018: 329-333.
|
[12] |
袁展望, 李武平, 刘冰, 等. 预防留置导尿管相关感染研究进展[J]. 中国感染控制杂志, 2013, 12(5): 397-399, 366. doi: 10.3969/j.issn.1671-9638.2013.05.023
|
[13] |
王永恒, 张学光. 经尿道等离子前列腺分叶剜除术治疗良性前列腺增生的疗效[J]. 实用临床医药杂志, 2018, 22(7): 99-101. doi: 10.7619/jcmp.201807027
|
[14] |
秦杰, 黄晓琼. ICU导尿管相关尿路感染的护理研究进展[J]. 实用临床护理学电子杂志, 2020, 5(25): 76. https://www.cnki.com.cn/Article/CJFDTOTAL-SLHL202025068.htm
|
1. |
苏燕,徐九云,雷海露,刘晓蓓. 老年危重症患者发生再喂养综合征的危险因素回归方程的构建及干预措施分析. 实用临床医药杂志. 2024(01): 123-128 .
![]() | |
2. |
谢婷,侯超,周旭辉,郭育君,练宇泽,曾亚琦. 经皮穴位电刺激在酒精依赖患者中的应用效果. 实用临床医药杂志. 2024(02): 38-42 .
![]() | |
3. |
孙桂敏. 脑卒中伴吞咽障碍患者营养管理现况及研究进展. 医药前沿. 2024(24): 17-21 .
![]() | |
4. |
王锦程,刘闯,周相宇,周素芳. 周素芳运用参苓白术散治疗酒精性肝病经验. 中医药通报. 2023(01): 12-14+67 .
![]() | |
5. |
张兰,沈晓芳,金瑾,徐吉,张静. 无基础代谢性疾病急性缺血性卒中患者短期营养不良预测模型构建与验证. 中国卒中杂志. 2023(04): 428-433 .
![]() | |
6. |
付志鹏,郑盛,杨涓. 肝硬化患者营养评价方法研究进展. 国际医药卫生导报. 2023(23): 3341-3344 .
![]() | |
7. |
姚绍敏,王学义,余艳堂,雍恩华,宋志领. 早期营养支持对酒依赖患者临床结局的影响. 神经疾病与精神卫生. 2021(08): 557-561 .
![]() |