宫颈癌腹腔镜根治术术中与术后并发症发生率及影响因素的对比研究

发布时间：2018-03-24 00:18

本文选题：术中与术后　切入点：并发症　出处：《中国内镜杂志》2017年01期

【摘要】：目的通过对比研究宫颈癌腹腔镜根治术下术中与术后并发症发生率及并发症影响因素,来指导今后此类手术的临床实践。方法回顾性分析2013年1月-2015年12月于该院接受宫颈癌腹腔镜手术患者314例为研究对象,观察其并发症发生率,并用多因素分析法分析并发症的影响因素。结果术中并发症例数为20例,占比为6.37%,术后并发症例数为80例,占比25.48%,术中并发症影响因素包括国际产科联盟(FIGO)、手术时间、医生手术经验,其中医生手术经验OR值最高,为2.00,95%置信区间为1.00~4.25;术后并发症影响因素主要包括年龄、体质指数(BMI)、淋巴结转移、FIGO、医生手术经验、手术时间,其中手术时间OR值最高,为4.69,95%置信区间为1.05~2.84。结论宫颈癌腹腔镜根治术下术中与术后并发症很难完全避免,但可以通过对年龄、BMI、淋巴结转移、FIGO、手术时间和医生手术经验等影响因素的控制尽量减少并发症。
[Abstract]:Objective to compare the incidence of intraoperative and postoperative complications and the influencing factors of complications in laparoscopic radical resection of cervical cancer. Methods from January 2013 to December 2015, 314 patients with cervical cancer undergoing laparoscopic cervical cancer surgery were analyzed retrospectively, and the incidence of complications was observed. Results 20 cases of intraoperative complications (6.37%), 80 cases of postoperative complications (25.48%), 20 cases of intraoperative complications (6.37%), and 25.48% of complications were analyzed by multivariate analysis. The influencing factors of intraoperative complications included FIGO (International Federation of Obstetrics and Obstetrics), time of operation. The OR value of doctor's operation experience was the highest (2.00 卤95% confidence interval was 1.00 卤4.25). The main factors influencing postoperative complications included age, body mass index (BMI), lymph node metastasis (FIGO), doctor's operation experience, operation time. The OR value of operative time was the highest (4.69% 95% confidence interval 1.05 卤2.84). Conclusion the intraoperative and postoperative complications under laparoscopic radical operation for cervical cancer are difficult to be completely avoided. But we can minimize the complications by controlling the influence factors such as age, lymph node metastasis, operation time and doctor's operation experience.
【作者单位】：安徽医科大学附属省立医院妇产科;安徽省合肥市第三人民医院信息中心;
【分类号】：R737.33

【参考文献】