临床外科杂志 ›› 2025, Vol. 33 ›› Issue (12): 1329-1332.doi: 10.3969/j.issn.1005-6483.20250513

• 综述与讲座 • 上一篇    下一篇

苏醒期膀胱超声在泌尿系统并发症管理中的应用

朱欣艳 王云 马丹旭 张屈云 张艺卓   

  1. 100050 北京,首都医科大学附属北京友谊医院麻醉手术中心
  • 出版日期:2025-12-20 发布日期:2025-12-20
  • 通讯作者: 张艺卓,Email:1224117175@qq.com
  • 基金资助:
    北京市医院管理中心关于2021年度临床医学发展专项“扬帆”计划(XMLX202106)

Advances in the application of bladder ultrasound during the recovery period inthe management of urinary system complications

ZHU Xinyan,WANG Yun,MA Danxu,ZHANG Quyun,ZHANG Yizhuo   

  1. Anesthesia and Surgery Center,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China
  • Online:2026-01-22 Published:2025-12-20

摘要: 麻醉苏醒期膀胱管理是影响病人术后安全及预后的关键环节,传统评估方法存在时效性不足、侵入性较强等局限。随着可视化技术的发展,床旁超声凭借其实时、无创、可重复等优势,已成为麻醉苏醒期膀胱综合管理的重要工具。本文系统阐述床旁超声在该领域的多维度应用,包括超声膀胱容量测定优化导尿决策,超声辅助导尿管相关膀胱刺激症状的病因分析与防治策略,膀胱破裂的超声快速诊断。本文对床旁超声在麻醉苏醒期膀胱评估与管理中的应用进展进行综述。

关键词: 床旁超声; 术后尿潴留; 导尿管相关膀胱刺激症状; 膀胱破裂

Abstract: Bladder management during the anesthesia recovery period is a crucial aspect that affects the safety and prognosis of postoperative patients.However,traditional assessment methods have limitations such as insufficient timeliness and high invasiveness.With the development of visualization technology,bedside ultrasound,with its real-time,non-invasive,and repeatable advantages,has become an important tool for comprehensive bladder management during the anesthesia recovery period.This article systematically elaborates on the multi-dimensional applications of bedside ultrasound in this field,including the determination of bladder volume by ultrasound to optimize catheterization decisions,the analysis of the causes and prevention strategies of catheter-related bladder irritation symptoms with ultrasound assistance,and the rapid diagnosis of bladder rupture by ultrasound.This article aims to review the progress of bedside ultrasound in bladder assessment and management during the anesthesia recovery period,providing visual decision-making basis for clinical practice and prevention and treatment methods for bladder-related complications during the recovery period.

Key words: point-of-care ultrasound; postoperative urinary retention; catheter-related bladder discomfort; bladder rupture

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