宫颈癌术后盆腔囊肿及并发感染的危险因素

发布时间：2018-05-02 22:14

  本文选题：宫颈癌 + 淋巴囊肿　； 参考：《中国老年学杂志》2015年11期

【摘要】：目的探讨宫颈癌术后盆腔淋巴囊肿及术后辅助治疗期间囊肿并发感染的危险因素。方法选取2008年10月至2014年6月承德市中心医院宫颈癌术后辅助治疗期间盆腔淋巴囊肿的患者67例为病例组,应用分层随机抽样方法选取同期宫颈癌术后无盆腔淋巴囊肿的患者67例为对照组。辅助治疗期间囊肿并发感染13例。收集患者的临床资料分析宫颈癌术后盆腔淋巴囊肿发生的危险因素、术后辅助治疗期间淋巴囊肿并发感染的危险因素。结果单因素分析显示并发盆腔淋巴囊肿组中60岁、Ⅱ期、术中淋巴结清扫数20个、术后24 h引流量100 ml的患者比例明显高于未并发盆腔淋巴囊肿组(P0.05),以上因素为并发盆腔淋巴囊肿的可能危险因素。囊肿并发感染组中有糖尿病及囊肿直径5 cm的患者比例明显高于未并发感染的盆腔淋巴囊肿组(P0.05),以上因素为囊肿并发感染的可能危险因素。对单因素分析中的危险因素行多因素Logistic回归分析显示:年龄60岁〔相对比值比(OR)=2.762,95%可信区间(CI)1.260~6.055〕、Ⅱ期(OR=2.238,95%CI 1.031~4.858)、术中淋巴结清扫数20个(OR=2.651,95%CI 1.141~6.161)是宫颈癌术后并发盆腔淋巴囊肿的独立危险因素(P0.05)。糖尿病(OR=5.518,95%CI 1.018~29.913)、囊肿直径5 cm(OR=8.284,95%CI 1.842~37.247)是术后辅助治疗期间囊肿并发感染的独立危险因素。结论年龄60岁、Ⅱ期、术中淋巴结清扫数20个是宫颈癌术后出现盆腔淋巴囊肿的独立危险因素。糖尿病、囊肿直径5 cm是术后辅助治疗期间囊肿并发感染的独立危险因素。
[Abstract]:Objective to investigate the risk factors of pelvic lymphoid cysts complicated with infection during postoperative adjuvant therapy for cervical cancer. Methods from October 2008 to June 2014, 67 patients with pelvic lymphoid cysts in Chengde Central Hospital during postoperative adjuvant treatment for cervical cancer were selected as the case group. A stratified random sampling method was used to select 67 patients without pelvic lymphocyst in the same period of cervical cancer operation as control group. 13 cases of cysts complicated with infection during adjuvant therapy. The clinical data of the patients were collected to analyze the risk factors of pelvic lymphocysts after cervical cancer operation and the risk factors of lymphocysts complicated with infection during postoperative adjuvant therapy. Results univariate analysis showed that the patients with pelvic lymphocysts were 60 years old, stage 鈪，

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