膀胱全切原位尿流改道术后早期并发症及危险因素分析

发布时间：2018-05-20 15:13

本文选题：根治性膀胱切除术 + 膀胱癌　；参考：《广东医学》2017年03期

【摘要】：目的探讨膀胱全切原位尿流改道术后早期并发症及相关危险因素。方法回顾性分析73例行膀胱全切原位尿流改道术患者的术后早期并发症发生情况,采用"手风琴式"并发症分级系统进行分析,并应用logistic回归分析研究其相关危险因素。结果 73例患者中出现早期并发症者42例(57.5%),共发生并发症77例次。其中轻度29例次(37.7%),中度44例次(57.1%),重度4例次(5.2%)。常见的早期并发症为感染相关并发症、胃肠道相关并发症以及尿漏。logistic多因素回归分析结果显示,与患者术后早期并发症发生有关的因素有体质指数(BMI)(OR=1.574,P=0.002)、手术失血量(OR=1.050,P=0.027)和CCI评分(OR=1.127,P=0.040)。结论膀胱全切原位尿流改道术后早期轻、中度并发症发生率较高。患者BMI、术中出血量和CCI评分与其密切相关。
[Abstract]:Objective to investigate the early complications and related risk factors after total cystectomy and in situ urinary diversion. Methods the incidence of early postoperative complications in 73 patients undergoing total cystectomy and in situ urethral diversion was retrospectively analyzed. The "accordion" complication grading system was used to analyze the risk factors. The risk factors were analyzed by logistic regression analysis. Results among 73 cases, 42 cases had early complications, and 77 cases had complications. Among them, 29 cases were mild, 37. 7 times were right, 44 cases were moderate, 57. 1 times were right, and 4 cases of severe degree were 5. 2%. The common early complications were infection related complications, gastrointestinal tract complications and urine leakage. Logistic regression analysis showed that the factors associated with early postoperative complications were BMI 1.574P0. 002, the volume of blood loss during operation was 1.050 P0. 027) and CCI score OR1. 127 P0. 040. Conclusion the incidence of early mild and moderate complications after total cystectomy and in situ urinary diversion is high. BMI, intraoperative bleeding volume and CCI score were closely related to BMI.
【作者单位】：昆明医科大学第二附属医院泌尿外科;云南省第二人民医院泌尿外科;
【基金】：国家自然科学基金资助项目(编号:81460384)
【分类号】：R737.14

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