【摘要】 目的 探讨肛肠术后尿潴留的因素并提出防治措施。方法 回顾分析250例患者的年龄、性别、麻醉方法及围手术期日输液量，对术后并发尿潴留进行统计学分析。结果 年龄≥60岁患者尿潴留的发生率为12.60%，<60岁尿潴留的发生率为1.94%(P<0.05)，男性尿潴留的发生率为11.22%，女性尿潴留的发生率2.63%(P<0.05)，脊椎麻醉与局部麻醉尿潴留的发生率分别是22.03%和1.05%(P<0.05)，静脉补液量≥500ml与<500ml尿潴留的发生率分别是20%和2%(P<0.05)。结论 老年男性病人术前常规留置导尿管预防术后并发尿潴留、局部麻醉和限制围手术期输液量可减少术后并发尿潴留。

    【关键词】 肛肠；尿潴留；因素；防治；发生率

    Predisposing factors and prevention of postoperative urinary retention after anorectal surgery

    YANG Yong，JIN Mei-hua，LI Zhao-ping.Department of Surgery,Sanlin Hospital,Pudong New Area,Shanghai 200124，China

    【Abstract】 Objective The objective of this study was to study the predisposing factors of urinary retention after anorectal surgery and put forward the ways in prevention of urinary retention.Methods 250 patients undergoing anorectal surgery were retrospectively analysed in incidence of postoperative urinary retention, and age, sex, anesthetic techniques, perioperative daily fluid were also analysed.Results The incidence of urinary retention were 12.6% vs 1.94%(≥60 year vs <60 year, P<0.05),11.22% vs 2.6% (male vs female,P<0.05),22.03% vs 1.05%(spinal vs local anesthesia, P<0.05) and 20% vs 2% (fluid intake≥500ml vs<500ml P<0.05) respectively.Conclusion The old male patients should be routinely placed catheter before surgery to prevent urinary retention, local anesthesia and fluid intake limited within 500ml could reduce incidence of postoperative urinary retention. ......