摘要
目的研究宫颈癌术后淋巴囊肿感染的相关因素和治疗情况,为防治宫颈癌术后淋巴囊肿感染提供参考依据。方法回顾性分析1403例宫颈癌手术患者的临床资料,调查淋巴囊肿及感染的发生情况,对感染的相关因素进行分析,并观察治疗情况。结果宫颈癌手术患者的淋巴囊肿及感染的发生率分别为11.19%和2.28%。单因素和多因素分析显示糖尿病、术后放化疗、术后引流时间≤6天、囊肿直径>5cm与淋巴囊肿感染关系密切(P<0.05)。对于感染患者,抗生素及穿刺引流组的治疗有效率为92.31%,高于抗生素组的18.75%(P<0.05)。结论宫颈癌术后淋巴囊肿易感染,需针对相关因素进行预防,对感染患者可考虑在抗生素基础上给予淋巴囊肿穿刺引流治疗。
Objective To study the relevant factors and treatment of postoperative lymphocytic infection in cervical cancer, and provide reference for prevention and treatment of postoperative lymphocytic infection. Methods A total of 1403 patients with cervical cancer received surgery were retrospectively analyzed. The incidence of lymphocysts and infection was documented. The factors of infection were analyzed and the treatment was recorded. Results The incidence of lymphocysts and infection in patients with cervical cancer received surgery was 11.19% and2.28%, respectively. Univariate and multivariate analysis showed that diabetes, postoperative radiotherapy and chemotherapy, pelvic drainage time <6 days, cyst diameter >5 cm were statistically associated with lymphocytic infection( P<0.05). For infected patients, antibiotics and puncture drainage treatment was more effective than antibiotic treatment alone(92.31% vs 18.75%, P<0.05). Conclusion Lymphocysts after surgery were susceptible to infection, which should be prevented according to the relevant factors. The preferred treatment of lymphocyst infection was puncture drainage combined with antibiotic therapy.
出处
《浙江创伤外科》
2019年第6期1094-1096,共3页
Zhejiang Journal of Traumatic Surgery
基金
浙江省自然科学基金资助项目(LQ16H160016)
浙江省医药卫生科研面上项目(2018KY276)
关键词
宫颈癌
淋巴囊肿
感染
相关因素
治疗
Cervical carcinoma
Lymphocyst
Infection
Related factors
Treatment
