摘要
目的:分析子宫颈癌根治术并发症的发生率及其影响因素。方法:对新疆肿瘤医院2003年1月～2007年7月收治的482例早中期子宫颈癌行根治术的患者进行回顾性分析。其中Ⅰa期6例,Ⅰb期131例,Ⅱa期142例,Ⅱb期,203例。结果:发生手术并发症181例,发生率为37.6%。手术并发症主要是尿储留,腹部切口液化、感染或裂开,淋巴囊肿,其发生率分别为15.6%,9.8%,9.5%。多因素分析并发症发生与临床分期和年龄有关。下腹部手术史、有内科合并症及术前放化疗与手术并发症的发生无关。结论:宫颈癌根治手术并发症主要是尿储留,腹部切口液化、感染或裂开,淋巴囊肿;临床分期和年龄是影响手术并发症发生的主要因素。
Objective: To analyze the rate of complications and influencing factors of radical hysterectomy plus pelvic lymphadenectomy in cervical cancer patients. Methods: From January 2003 to 2007 July treated 482 cases of early and mid cervical cancer surgery major complications were retrospectively analyzed in Tumor Hospital of Xinjiang.The stages were: 6 stageⅠa; 131 stageⅡa; 142 stageⅡa and 203 stageⅡb. Results: A total of 181 patients (37.6%) developed postoperative complications. The major complications included: bladder dysfunction (15.6%); wound infection (9.8%); formation of lymphocysts (9.5%). Multivariate Analysis showed complications have the relation of clinical stage and age. Under a history of abdominal surgery, there are medical compli- cations and preoperative radiotherapy and chemotherapy and surgical complications of no significant correlation. Conclusion: bladder dysfunction, wound infection, formation of lymphocysts were the major complications; Clinical stage and age are the main factors of surgical complications.
引文
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