妇科手术后肠梗阻的危险因素分析

发布时间：2018-11-10 15:35

【摘要】：目的探讨妇科手术后肠梗阻发生的危险因素。方法回顾分析35例北京大学人民医院诊治的术后肠梗阻的妇科住院患者的临床资料,并与具有相同年龄同期手术但术后未发生肠梗阻的140例妇科患者进行对比分析(按1∶4比例)。结果术后肠梗阻组与非肠梗阻组相关临床资料进行单因素分析显示:妇科恶性肿瘤、开腹手术、切除盆腔淋巴结、合并盆腔粘连、手术操作时间长、术后使用镇痛泵、术后合并低钾血症与妇科手术后肠梗阻相关。多因素分析显示:手术时间是妇科手术后肠梗阻的独立危险因素。结论妇科恶性肿瘤、开腹手术、切除盆腔淋巴结、合并盆腔粘连、手术操作时间长、术后使用镇痛泵、术后合并低钾血症的妇科手术患者术后发生肠梗阻的风险增加,应提高警惕和加强术后管理,其中手术操作时间与术后肠梗阻的发生最为密切,缩短手术时间是减少术后肠梗阻发生的最为有效的措施。
[Abstract]:Objective to investigate the risk factors of intestinal obstruction after gynecological surgery. Methods the clinical data of 35 cases of gynecological patients with intestinal obstruction diagnosed and treated in Peking University people's Hospital were retrospectively analyzed. A comparative analysis was made between 140 gynecological patients with the same age but no postoperative intestinal obstruction (at 1:4). Results the clinical data of postoperative intestinal obstruction group and non-intestinal obstruction group were analyzed by single factor analysis. The results showed that gynecologic malignant tumor, open operation, pelvic lymph node resection, pelvic adhesion, long operation time and postoperative analgesia pump were used. Postoperative hypokalemia was associated with intestinal obstruction after gynecological surgery. Multivariate analysis showed that operative time was an independent risk factor for intestinal obstruction after gynecological surgery. Conclusion the risk of intestinal obstruction in gynecologic malignant tumor patients with postoperative hypokalemia is increased by open surgery, pelvic lymph node resection, pelvic adhesion, long operation time, postoperative analgesia pump and postoperative hypokalemia. The operative time is the most closely related to the occurrence of postoperative intestinal obstruction, and shortening the operative time is the most effective measure to reduce the incidence of postoperative intestinal obstruction.
【作者单位】：北京大学人民医院妇产科;北京市丰台区妇幼保健院;北京大学人民医院科研处;
【分类号】：R713

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