摘要
目的分析宫颈癌根治术并发症的发生及其相关因素,探讨其防治方法。方法110例宫颈癌行广泛性子宫切除术加盆腔淋巴结清扫术,其中ⅠA期10例,占9.09%;ⅠB期75例,占68.18%;ⅡA期23例,占20.91%;ⅡB期2例,占1.82%。鳞癌89例,占80.91%;腺癌和腺鳞癌19例,占17.27%;其他2例,占1.82%。结果发生手术并发症30例,发生率为27.27%。手术并发症主要为尿潴留、淋巴囊肿、腹部切口感染,发生率分别为17.27%、9.09%、5.45%。结论严格把握手术指征,术中仔细操作,减少副损伤,术后加强护理,及早发现并处理并发症的诱因,可以减少手术并发症的发生。
Objective To analyze the causes and related factors for the complications of radical hysterectomy plus pelvic lymphadenectomy in cervical cancer patients,and to explore its prevention and control measures.Methods：110 cervical cancer patients were treated by radical hysterectomy plus pelvic lymphadenectomy.The patients,stages were：10 stage ⅠA（9.09%）,75 stage ⅠB（68. 18%）,23 stage ⅡA（20.91%）,2 stage ⅡB（1.82%）.The histological types included：89 cases （80.91%） of squamous cell carcinoma,19 cases（80.91%）of adenocarcinoma and adeno—squamous carcinoma,and 2 cases（1.82%）of other types.Results Surgery complica-tions occurred in 30 patients（27.27%）.The major complications included：urinary retention（17.27%）,lymphocele（9.09%）,wound infection（5.45%）.Conclusion The complications of radical hysterectomy with pelvic lymphadenectomy could be avoided through strictly mastering surgical indications,careful operation,decreasing side injure,enhancing post-operative care and properly treating the inducements of complications.
出处
《中外医疗》
2010年第6期23-23,25,共2页
China & Foreign Medical Treatment
关键词
宫颈癌
手术
并发症
Cervical carcinoma
Surgery
Complication
