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1、208例宫颈癌根治术并发症的临床分析张攀刘巧玲李莲风蒋玲梅卢灶红湖南省郴州市第四人民医院妇产科423000摘要:目的:探讨研究宫颈癌根治术后并发症的发生情况以及影响并发症发生的因索。方法:选取符合标准的使用宫颈癌根治术进行治疗的患者208例,在术屮与术后严密观察患者出现的并发症情况,并对各并发症的发生情况进行统计。比较在不同年龄、不同分期以及不同术前治疗下患者并发症的发生情况,判断并发症发生的相关因素。结果:发病率最高的并发症是尿潴留,占总发病的37.21%;其次为淋巴囊肿与腹部切口裂开或感染,分别占总发病的25.58%与24.42%;发病率最低的为盆腔感染,占总发病的2.33
2、%。在不同分期中,la、lb、IIa>lib患者并发症发生率分别为33.3%、25.5%、36.5%以及55.2%。在不同年龄段屮,<40、40〜50、50〜60、>60患者并发症发生率分别为32.3%、35.8%、37.7%以及56.l%o在不同术前治疗屮,静脉化疗、介入化疗、放疗以及未治疗患者并发症发生率分别为33.3%、50.0%、37.5%以及39.7%。通过非条件logistic回归分析,宫颈癌的临床分期以及患者的年龄与宫颈癌根治术并发症的发生率具冇相关性,而其他变量则不具有相关性。结论:宫颈癌根治术手术范围广,创伤面积大,术后并发症较多,做好积极的预防与护理工作,减
3、少并发症的发生率,提高患者的生命质量。关键词:宫颈癌根治术;并发症;丿求潴logistic回归分析ClinicalAnalysisof208CasesofPostoperativeComplicationsofRadicalHysterectomyforCervicalCancerAbstract:Objective:Toanalyzetheoccurrenceofpostoperativecomplicationsofradicalhysterectomyforcervicalcancerandinfluencefactorsofcomplications.Methods:2
4、08patientswiththisdiseasewerechosenandtheintraoperativeandpostoperativecomplicationswereobserved・Thecomplicationsindiftcrcntages,differentstagesanddifferentpreoperativetreatmentwerecomparedandtherelativefactorswerestudied.Results:Thehighestincidenceofcomplicationswasurinaryretention(37.21%),
5、followedbylymphocyst(25.58%)andabdominalincisiondehiscenceorinfection(24.42%).Thelowestincidenceofcomplicationswaspelvicinfection(2.33%).Indifferentstages,thela,lb,Ila,libcomplicationrateswere33.3%,25.5%,36.5%,55.2%.Indifferentagestages,the<40,40〜50,50〜60,>60complicationrateswere32.3%,35.8%,
6、37.7%,56.1%.Indifferentprcopcrativctreatments,theintravenouschemotherapy,interventionalchemotherapy,radiationtherapy,notreatmentcomplicationrateswere33.3%,50.0%,37.5%,39.7%.Throughtheunconditionedlogisticregressionanalysis,theclinicalstageandagehadrelevantrelationshipswiththeincidenceofcompl
7、ications.Conclusion:Radicalhysterectomyforcervicalcancerhasawidescope,largetraumaareaandmorecomplications.Morepreventionandnursingworkareneededtoreducetheincidenceofcomplicationsandimprovethequalityoflife.Keywords:radicalhysterectomyforcervicalcanc