中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2012年
18期
19-21
,共3页
宫颈肿瘤%子宫切除术%尿潴留%危险因素
宮頸腫瘤%子宮切除術%尿潴留%危險因素
궁경종류%자궁절제술%뇨저류%위험인소
Uterine cervical neoplasms%Hysterectomy%Urinary retention%Risk factors
目的 探讨宫颈癌广泛性子宫切除术后引起尿潴留发生的危险因素.方法 回顾性分析2008年8月至2011年6月收治的行广泛性子宫切除术加盆腔淋巴结清扫术宫颈癌患者92例,分析术后尿潴留发生率及其相关危险因素.结果 92例患者中有31例术后出现尿潴留,发生率为33.70％.单因素分析表明,年龄、术中出血量、术后留置尿管时间、术后尿路感染与术后尿潴留有显著相关性(P＜0.05),而手术时间、临床分期、病理类型、术前辅助治疗、术后切口感染或脂肪液化与术后尿潴留无明显相关性(P＞0.05).多因素Logistic回归分析表明,年龄、术后留置尿管时间和术后尿路感染为影响术后尿潴留的危险因素.结论 年龄、术后留置尿管时间和术后尿路感染为影响广泛性子宫切除术后尿潴留的独立因素,采取综合措施适当缩短术后持续导尿时间,早期预防及控制尿路感染,是降低术后尿潴留的关键.
目的 探討宮頸癌廣汎性子宮切除術後引起尿潴留髮生的危險因素.方法 迴顧性分析2008年8月至2011年6月收治的行廣汎性子宮切除術加盆腔淋巴結清掃術宮頸癌患者92例,分析術後尿潴留髮生率及其相關危險因素.結果 92例患者中有31例術後齣現尿潴留,髮生率為33.70％.單因素分析錶明,年齡、術中齣血量、術後留置尿管時間、術後尿路感染與術後尿潴留有顯著相關性(P＜0.05),而手術時間、臨床分期、病理類型、術前輔助治療、術後切口感染或脂肪液化與術後尿潴留無明顯相關性(P＞0.05).多因素Logistic迴歸分析錶明,年齡、術後留置尿管時間和術後尿路感染為影響術後尿潴留的危險因素.結論 年齡、術後留置尿管時間和術後尿路感染為影響廣汎性子宮切除術後尿潴留的獨立因素,採取綜閤措施適噹縮短術後持續導尿時間,早期預防及控製尿路感染,是降低術後尿潴留的關鍵.
목적 탐토궁경암엄범성자궁절제술후인기뇨저류발생적위험인소.방법 회고성분석2008년8월지2011년6월수치적행엄범성자궁절제술가분강림파결청소술궁경암환자92례,분석술후뇨저류발생솔급기상관위험인소.결과 92례환자중유31례술후출현뇨저류,발생솔위33.70％.단인소분석표명,년령、술중출혈량、술후류치뇨관시간、술후뇨로감염여술후뇨저류유현저상관성(P＜0.05),이수술시간、림상분기、병리류형、술전보조치료、술후절구감염혹지방액화여술후뇨저류무명현상관성(P＞0.05).다인소Logistic회귀분석표명,년령、술후류치뇨관시간화술후뇨로감염위영향술후뇨저류적위험인소.결론 년령、술후류치뇨관시간화술후뇨로감염위영향엄범성자궁절제술후뇨저류적독립인소,채취종합조시괄당축단술후지속도뇨시간,조기예방급공제뇨로감염,시강저술후뇨저류적관건.
Objective To investigate the risk factors of uroschesis in patients with cervical cancer after extensive hysterectomy.Methods The clinical data of 92 patients with cervical cancer who had undergone extensive hysterectomy plus pelvic lymph node dissection from August 2008 to June 2011 were analyzed retrospectively.The incidence rate and related risk factors of uroschesis after operation were analyzed.Results Thirty-one of 92 cases had postoperative uroschesis.The incidence rate of uroschesis was 33.70％.Univariate analysis showed that age,intraoperative blood loss,time of indwelling urinary catheter and urinary tract infection had significant correlation with postoperative uroschesis (P ＜0.05).While operative time,clinical stage,pathological type,preoperative adjuvant therapy,postoperative wound infection or fat liquefaction had no obvious correlation with postoperative uroschesis (P＞ 0.05).Multivariate Logistic regression analysis showed that age,time of indwelling urinary catheter and urinary tract infection were risk factors of postoperative uroschesis.Conclusions Age,time of indwelling urinary catheter and urinary tract infection are independent factors of postoperative uroschesis.The key method to reduce the incidence rate of postoperative uroschesis is to shorten the continuous catheterization time with comprehensive measure,to prevent and control urinary tract infection in early time.
