摘要
目的:探讨子宫颈癌根治手术并发症的发生情况及其影响因素。方法:对新疆医科大学附属肿瘤医院2003年1月～2007年7月收治的482例早中期子宫颈癌行根治手术术后发生并发症的情况进行回顾性分析。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潴留、腹部切口液化、感染或裂开及淋巴囊肿,其发生率分别为15.6%、9.8%和9.5%。多因素分析表明并发症发生与临床分期和年龄有关。下腹部手术史、内科合并症及术前放化疗与手术并发症的发生无关。结论:临床分期和年龄是手术并发症发生的主要因素。
Objective： To analyze the rate of complications and influencing factors of plus pelvic lymphadenectomy in cervical cancer patients. Methods： From January 2003 operations were done for 482 cases with early and mid cervical cancer, and major corn radical hysterectomy to 2007 July, radical lCatlons wet spectively analyzed. The stages were： 6 stage I A＋ 131 stage Ⅱ A; 142 stage H A and 203 stage Ⅱ suits： A total of 181 patients （37.6%） developed operative complications. The major complications e retro- B. Resuits： A total of 181 patients （37.6%） developed operative complications. The major complications includ ed： bladder dysfunction （15.6%）; wound infection （9.8%）; formation oflymphocysts （9.5%）. Multiva riate analysis showed complications concerned with clinical stage and age. A history of lower abdominal operation, medical comorbidity, preoperative radiotherapy and chemotherapy had no significant correlation with surgical complications. Conclusion： Bladder dysfunction, wound infection, formation of lymphocysts were the major complications. Clinical stage and age are the main influence factors of surgical complica- tions.
出处
《新疆医科大学学报》
CAS
2009年第10期1412-1415,共4页
Journal of Xinjiang Medical University
关键词
宫颈癌
根治术
并发症
cervical cancer
radical hysterectomy
complications
