【摘要】 目的分析常规无尿管留置的肺癌患者术后再置尿管的原因及危险因素。方法回顾性分析2013～2019年我院胸外科肺癌手术围术期常规无尿管留置的1 618例患者的临床资料,其中男791例、女827例,中位年龄58(27～85)岁。并分析无尿管留置失败再置管的危险因素。结果纳入患者中尿管再置率为1.5%(24/1 618)。相比无尿管再置患者,尿管再置患者手术时间长[120.0(95.0,130.0) min vs. 120.0(115.0,180.0)min,P=0.015]和术中输液量多[800.0(600.0,1 100.0)mL vs. 1 150.0(725.0,1 350.0)mL,P=0.008]。进一步多因素分析发现,手术时间(OR=1.014,P=0.004,95%CI 1.005～1.024)和术中输液量(OR=1.001,P=0.022,95%CI1.001～1.002)是发生尿管再置的独立危险因素。结论围术期常规无尿管留置的肺癌患者术后尿管再置率低,常规无尿管留置安全可行;手术时间过长或术中输液量过多可能增加尿管再置的发生风险。更多还原

【Abstract】 Objective To analyze the causes and potential risk factors of re-catheterization after failure of no urinary catheter in patients undergoing lung cancer surgery. Methods The clinical data of 1 618 patients without urinary catheter indwelling during the perioperative period of thoracic surgery in our hospital from 2013 to 2019 were retrospectively analyzed, including 791 males and 827 females, with a median age of 58 years, ranging from 27 to 85 years.And the risk factors for re-insertion after failure of urinary catheter were investgated. Results The rate of catheter re-insertion was 1.5%(24/1 618). Compared with patients without re-insertion, patients with re-insertion had longer operation time [120.0(95.0, 130.0) min vs. 120.0(115.0, 180.0) min, P=0.015] and more intraoperative fluid infusion[800.0(600.0, 1 100.0) mL vs. 1 150.0(725.0, 1 350.0) mL, P=0.008]. Further multivariate analysis found that the operation time(OR=1.014, P=0.004, 95%CI 1.005-1.024) and intraoperative fluid infusion(OR=1.001, P=0.022, 95%CI 1.001–1.002)were independent risk factors for re-insertion. Conclusion The rate of catheter re-insertion in lung cancer patients is relatively low, and conventional no placement of catheter is safe and feasible after lung cancer surgery. Increasing operation time or intraoperative infusion volume may increase the risk of catheter re-insertion after lung cancer surgery.更多还原