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目的 了解宫颈癌患者术后泌尿系统并发症的情况及其相关因素。方法 对我院 2 5年来收治的 15 5例宫颈癌患者的临床资料进行回顾性分析。结果 患者平均年龄 (44 19± 10 72 )岁 ,临床分期为 0～Ⅳb期。共行手术 14 2例 ,其中子宫根治术 +盆腔淋巴结清扫术 84例。术后膀胱功能障碍发生率根治术为 5 2 4 % ,其他术式为 7 1% ,P <0 0 1;术后泌尿系感染发生率根治术为 31 3% ,其他术式为 3 6 % ,P <0 0 1;术后膀胱功能障碍与术后使用抗生素时间及尿管保留时间具有相关性 ,与体温恢复正常时间不具相关性 ,泌尿系感染与尿管保留时间具有相关性 ,与使用抗生素时间体温恢复正常时间不具相关性 ;尿潴留与泌尿系感染无相关性 ;无 1例术后尿瘘。结论 术后膀胱功能障碍和术后泌尿系感染均为宫颈癌手术术后的常见并发症 ,可能对患者的健康造成不良影响 ,应引起足够重视 ,并积极预防处理。
Objective To understand the postoperative urinary system complications of cervical cancer patients and its related factors. Methods The clinical data of 15 5 cases of cervical cancer treated in our hospital for 25 years were retrospectively analyzed. Results The average age of patients (44 19 ± 10 72) years, clinical stage 0 ~ Ⅳ b period. A total of 142 cases of surgery, including radical hysterectomy + pelvic lymph node dissection in 84 cases. The incidence of postoperative bladder dysfunction was 52.4% for radical surgery and 71.1% for other surgical procedures (P <0.01). The incidence of postoperative urological infection was 31.3% in radical surgery and 36.6% in other surgical procedures , P <0 01; postoperative bladder dysfunction and postoperative use of antibiotics and catheter retention time has a correlation, and body temperature returned to normal time is not relevant, urinary tract infection and catheter retention time is related to the use of Antibiotic time body temperature returned to normal time is not relevant; urinary retention and urinary tract infection no correlation; no case of postoperative urinary fistula. Conclusions Postoperative bladder dysfunction and postoperative urinary tract infection are common complications after operation of cervical cancer, which may have adverse effects on the patients’ health. It should be given enough attention and actively prevented from being treated.