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宫颈癌术后盆腔淋巴囊肿的预后及影响因素分析

Analysis of Prognosis and Influencing Factors of Pelvic Lymphocysts After Cervical Cancer Surgery
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摘要 目的:分析宫颈癌术后盆腔淋巴囊肿患者的预后及影响因素。方法:回顾性分析东莞市松山湖中心医院2015年4月-2020年12月收治的宫颈癌根治术后出现淋巴囊肿的24例患者。在确诊囊肿形成后随访其淋巴囊肿情况,分析年龄、手术耗时、囊肿数目、分期、病理类型、分化、囊肿部位及囊肿大小对其预后的影响。结果:24例患者中,好转13例,稳定9例,恶化2例;合并感染2例,均为辅助放疗后的患者;单因素分析中,年龄、分期、病理类型、分化及囊肿部位与淋巴囊肿预后、合并感染感染无相关性,差异无统计学意义(P>0.05)。手术耗时≥200 min、多个囊肿及囊肿大小≥5 cm均是影响淋巴囊肿预后的因素,差异具有统计学意义(P<0.05);多个囊肿是影响感染发生的危险因素,差异具有统计学意义(P<0.05)。结论:宫颈癌术后淋巴囊肿患者的预后与手术时长、囊肿个数及囊肿大小密切相关,且囊肿较多患者合并感染的风险更大,还需要充分重视辅助放疗对患者预后的影响。 Objective:To analyze the prognosis and influencing factors of pelvic lymphocysts after the surgery for cervical cancer.Methods:A total of 24 patients with lymphocysts after the radical surgery for cervical cancer between April 2015 and December 2020 in SSL Central Hospital of Dongguan City were retrospectively analyzed.The lymphocysts were followed up after the cyst formation was diagnosed,and the effects of age,operation time,cyst number,stage,pathological type,differentiation,cyst location and cyst size on the prognosis were analyzed.Results:Among the 24 patients,13 were improved,9 were stable,and 2 were deteriorated;2 were complicated with infection,all of whom were patients after adjuvant radiotherapy;There was no correlation between cyst prognosis and co-infection,and the difference was not statistically significant(P>0.05).Operation time≥200 min,multiple cysts and cyst size≥5 cm were all prognostic factors for lymphocysts,and the difference was statistically significant(P<0.05);multiple cysts were risk factors for infection,and the difference was statistically significant Academic significance(P<0.05).Results:There is no significant difference in the prognosis of lymphatic cysts in different ages,stage,type,degree of differentiation,cyst location,and with or without adjuvant radiotherapy(P>0.05).There are statistically significant differences in the prognosis of lymphatic cysts by operation time,cyst number,and cyst size(P<0.05).The number of cysts was statistically different in the incidence of lymphocytic infections(P<0.05).Conclusion:The patients who with operation time less than 200 minutes,single cyst have better prognosis.Multiple cysts patients have higher rist of infection.
作者 李光骁 周丽玲 陈永发 Li Guang-xiao;Zhou Li-ling;Chen Yong-fa(Department of Oncology and Hematology,SSL Central Hospital of Dongguan City,Dongguan 523000,Guangdong Province,China)
出处 《中国社区医师》 2022年第21期24-26,共3页 Chinese Community Doctors
关键词 宫颈癌 淋巴囊肿 影响因素 Cervical cancer lymphocysts influencing factors
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