国外医学（医学地理分册）
國外醫學（醫學地理分冊）
국외의학（의학지리분책）
Foreign Medical Sciences (Section of Medgeography)
2015年
3期
222-223,242
,共3页
宫颈癌%淋巴水肿%焦虑%抑郁
宮頸癌%淋巴水腫%焦慮%抑鬱
궁경암%림파수종%초필%억욱
cervical cancer%lymphedema%anxiety%depression
目的：分析宫颈癌患者术后下肢淋巴水肿发生情况及情绪状况。方法采用妇科癌症淋巴水肿问卷、医院焦虑／抑郁量表（HADS）对204例完成宫颈癌手术患者进行下肢继发性淋巴水肿和情绪问卷调查，并了解患者一般情况及疾病与治疗情况。结果宫颈癌患者术后下肢淋巴水肿发生率22．5％，严重程度以Ⅰ度为主占82．61％，手术联合放疗的患者下肢淋巴水肿的发生率较高，占30．6％，单纯手术治疗组发生率为10．2％，术中行淋巴结清扫的患者下肢淋巴水肿的发生率为28．6％，术中无淋巴清扫者为7．4％，两者比较差异具有统计学意义（ P＜0．05）。与无下肢水肿患者相比，下肢水肿患者焦虑、抑郁发生率较高，差异均具有统计学意义（P＜0．05）。结论下肢淋巴水肿是宫颈癌患者治疗后的常见并发症之一，宫颈癌术后其发生率较高，不同治疗方式淋巴水肿发生率不同，且严重影响患者情绪及生活质量，应加强健康教育，并积极探寻有效的预防干预措施，降低宫颈癌术后下肢淋巴水肿的发生率。
目的：分析宮頸癌患者術後下肢淋巴水腫髮生情況及情緒狀況。方法採用婦科癌癥淋巴水腫問捲、醫院焦慮／抑鬱量錶（HADS）對204例完成宮頸癌手術患者進行下肢繼髮性淋巴水腫和情緒問捲調查，併瞭解患者一般情況及疾病與治療情況。結果宮頸癌患者術後下肢淋巴水腫髮生率22．5％，嚴重程度以Ⅰ度為主佔82．61％，手術聯閤放療的患者下肢淋巴水腫的髮生率較高，佔30．6％，單純手術治療組髮生率為10．2％，術中行淋巴結清掃的患者下肢淋巴水腫的髮生率為28．6％，術中無淋巴清掃者為7．4％，兩者比較差異具有統計學意義（ P＜0．05）。與無下肢水腫患者相比，下肢水腫患者焦慮、抑鬱髮生率較高，差異均具有統計學意義（P＜0．05）。結論下肢淋巴水腫是宮頸癌患者治療後的常見併髮癥之一，宮頸癌術後其髮生率較高，不同治療方式淋巴水腫髮生率不同，且嚴重影響患者情緒及生活質量，應加彊健康教育，併積極探尋有效的預防榦預措施，降低宮頸癌術後下肢淋巴水腫的髮生率。
목적：분석궁경암환자술후하지림파수종발생정황급정서상황。방법채용부과암증림파수종문권、의원초필／억욱량표（HADS）대204례완성궁경암수술환자진행하지계발성림파수종화정서문권조사，병료해환자일반정황급질병여치료정황。결과궁경암환자술후하지림파수종발생솔22．5％，엄중정도이Ⅰ도위주점82．61％，수술연합방료적환자하지림파수종적발생솔교고，점30．6％，단순수술치료조발생솔위10．2％，술중행림파결청소적환자하지림파수종적발생솔위28．6％，술중무림파청소자위7．4％，량자비교차이구유통계학의의（ P＜0．05）。여무하지수종환자상비，하지수종환자초필、억욱발생솔교고，차이균구유통계학의의（P＜0．05）。결론하지림파수종시궁경암환자치료후적상견병발증지일，궁경암술후기발생솔교고，불동치료방식림파수종발생솔불동，차엄중영향환자정서급생활질량，응가강건강교육，병적겁탐심유효적예방간예조시，강저궁경암술후하지림파수종적발생솔。
Objective To analysis the incidence and mood disorders of lower limb lymphedema (LLL ) of cervical cancer patients after surgery .Methods A Total of 204 patients were enrolled by Gynecologic cancer lymphedema questionnaire(GCLQ) ,and the Hospital Anxiety depression amount (HADS) ,cervical cancer surgery patients with lower limb secondary lymphedema .Results The incidence of LEL was 22 .5% ,with the severity being mild (stage Ⅰ ) in 82 .61% of Patients , the incidence of LLL in patients with surgery combined with radiotherapy was highest (30 .6% ) ,the incidence of LLL in Patients who received simple surgery alone was 10.2% . the incidence of LLL in Patients who received lympadenectomy during surgery was 28 .6% ,and the incidence was 7.4% ,who did not received lympadenectomy . There were higher incidence of anxiety and depression in LLL . Conclusion LLL is one of common complication after cervical cancer treatment . Different incidence of lymphedema with different treatment methods .Provide appropriate education ,and explore effective prophylactic techniques to reduce the incidence of LLL .
