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经腹全子宫切除术后,因膀胱失去宫颈支持及手术的刺激,常引起术后排尿障碍。本文以膀胱容量、残余尿量及排尿量为指标,观察经腹子宫全切术后对膀胱功能的影响。资料与方法1985年6月至1986年4月本院妇科子宫全切者100例,均属妇科良性疾忠.其中子宫肌瘤75例,卵巢肿瘤8例,子宫肥大症5例,功血、子宫内膜异位症、宫颈炎、附件炎性包块各3例。年龄最小23岁,最大63岁,平均46.7岁.45岁以上50例。术式:单纯子宫全切1例,子宫切除同时双侧输卵管切除27例,一侧附件切除44例,双侧附件切除28例。保留卵巢者均将输卵管切除。麻醉:均为连续硬膜外麻醉,2例加用氯胺酮。术中留置导尿管,手术结束时拔除。术后自行排尿并记录排尿次数和尿量,手术当日和术后第1天输液量2000～2500ml,常规应用抗生素5～7天.术前24小时及术后24小时按下列项目和方法各
Transabdominal hysterectomy, due to bladder loss of cervical support and surgical stimulation, often causing postoperative urination disorders. In this paper, bladder capacity, residual urine volume and urinary output as an indicator to observe the effect of abdominal hysterectomy on bladder function. Materials and Methods From June 1985 to April 1986, 100 cases of gynecologic uterus were completely resected in our hospital, which were all benign gynecological diseases, including 75 cases of uterine fibroids, 8 cases of ovarian tumors, 5 cases of uterine hypertrophy, Endometriosis, cervicitis, Annex 3 cases of inflammatory mass. The youngest 23 years old, maximum 63 years old, average 46.7 years old .45 years old and above 50 cases. Surgery: simple hysterectomy in 1 case, simultaneous hysterectomy in 27 cases of bilateral tubal removal, removal of 44 cases on one side of the attachment, bilateral attachment removal in 28 cases. Retained ovarian tubal resection. Anesthesia: all continuous epidural anesthesia, 2 cases plus ketamine. Intraoperative indwelling catheter removed at the end of surgery. Postoperative urination and record the number of urination and urine output, the day of surgery and postoperative 1 day infusion 2000 ~ 2500ml, routine use of antibiotics 5 to 7 days 24 hours before surgery and 24 hours after surgery according to the following items and methods