脊椎手術與排尿困難之研究
林柏宏, 柳瑞明1, 馮思中, 張英勛, 高偉棠2, 劉忠一, 莊正鏗
林口長庚醫院 泌尿科; 1衛生福利部桃園醫院 泌尿科；2衛生福利部雙和醫院 泌尿科
Dysuria after spinal surgery: A nationwide population-based study
Po-Hung Lin, Jui-Ming Liu1, See-Tong Pang, Ying-Hsu Chang, Wei-Tang Kao 2, Chung-Yi Liu, Cheng-Keng Chuang
Division of Urology, Department of Surgery, Chang Gung Memorial Hospital at Linkou
1Division of Urology, Department of Surgery, Taoyuan General Hospital, Ministry of Health and Welfare
2Department of Urology, Shuang Ho Hospital, Taipei Medical University
Background
To test the association between the incidence and risk factors of dysuria after spine surgery.
Methods
We used the 2000–2013 National Health Insurance Research Database (NHIRD) of Taiwan. The factors related to urinary retention after spinal surgery were examined by Cox regression analysis
Results
A total of 16,160 patients who received spinal surgery were enrolled. There were 432(2.67%) patients had dysuria with urinary retention after surgery. Cox regression analysis demonstrated that spinal surgery more than 2 times (adjusted OR=4.78, 95% CI =2.49–9.20) were significant risk factors of urinary retention after spinal surgery
Conclusion
Repeat spinal surgery may have associated with an increased risk of postoperative urinary retention. Further prospective studies are warranted.