CAJ | 학술논문

目的通过分析影响宫颈癌术后尿潴留发生的主要因素,旨在探讨相应的预防措施.方法将宫颈癌行子宫切除术的63例患者纳入本研究,观察患者年龄,尿路感染,放疗、化疗,临床分期,手术范围,术中出血量,手术时间,术后留置尿管时间,术后坐浴、膀胱功能锻炼等指标.结果 63例患者,其中26例术后发生尿潴留,发生率为41.3%;年龄大、术前尿路感染、广泛切除术者和缺乏膀胱功能锻炼者易发生尿潴留,且与正常组比较差异均有统计学意义(P＜0.05).经多元Logistic回归分析显示年龄、术前膀胱炎症和膀胱功能强化锻炼是影响术后尿潴留的主要因素.结论在诸多影响宫颈癌术后尿潴留发生的因素中,高龄和膀胱炎症是其主要危险因素,而膀胱功能锻炼可减少其发生.
목적 통과분석영향궁경암술후뇨저류발생적주요인소,지재탐토상응적예방조시.방법 장궁경암행자궁절제술적63례환자납입본연구,관찰환자년령,뇨로감염,방료、화료,림상분기,수술범위,술중출혈량,수술시간,술후류치뇨관시간,술후좌욕、방광공능단련등지표.결과 63례환자,기중26례술후발생뇨저류,발생솔위41.3%;년령대、술전뇨로감염、엄범절제술자화결핍방광공능단련자역발생뇨저류,차여정상조비교차이균유통계학의의(P＜0.05).경다원Logistic회귀분석현시년령、술전방광염증화방광공능강화단련시영향술후뇨저류적주요인소.결론 재제다영향궁경암술후뇨저류발생적인소중,고령화방광염증시기주요위험인소,이방광공능단련가감소기발생.
Objective To explore corresponding precaution against the incidence of urinary retention in cervical cancer patients after surgery. Methods 63 cervical patients after hysterectomy were recruited and the index of age,urinary infection etc was investigated. Results Among the 63 patients,26 of them have occurred urinary retention and the incident rate was 41.3%. The patients with older age,urinary infection before surgery,wide excision and lack of bladder training were susceptible to urinary retention and the difference has reached the statistical significance(P ＜ 0. 05). Multiple logistic regression analysis showed that age,urinary infection before surgery,bladder training were main influential elements of urinary retention.Conclusions Older age and bladder inflammation were the main elements influencing the incidence of urinary retention and functional training of bladder could reduce the occurrence.