摘要
目的分析子宫颈癌根治术后近期并发症及相关因素,探讨其防治措施。方法1996年4月-2006年4月间施行子宫颈癌根治术176例。其中Ⅰa期30例,Ⅰb期92例,Ⅱa期46例,Ⅱb期8例,采用子宫颈癌根治术166例,改良子宫颈癌根治术10例。结果发生手术并发症43例。发生率为23.3%。手术并发症主要为尿潴留、盆腔淋巴潴留囊肿、腹部切口感染、泌尿系统感染,其发生率分别为37.2%、20.9%、11.6%、30.3%。子宫颈癌根治术近期并发症发生率高于改良子宫颈癌根治术。结论子宫颈癌根治术近期并发症与术式有关,适当缩小手术范围可减少手术并发症。
Objective To analyze the causes and the therapeutic approaches for the short - term complications of radical hysterectomy plus pelvic lymphadenectomy in cervical cancer patients. Methods From Match, 1996 to March,2006,176 patients were treated by radical hysterectomy plus pelvic lymphadenectomy. The stages were ：30 stage Ⅰ a;92 stage Ⅰ b;46 stage Ⅱ a and 8 stage Ⅱb. 166 patients in this series were treated by radical hysterectomy plus pelvic lymhadenectomy and 10 by modified radical hysterectomy with pelvic lymphadenectomy. Results A totlal of 43 patients （23.3 % ）developed postoperative complications. The major complications included ： bladder dysfunction （ 37.2% ） ; formation of lymphocysts （20. 9% ） ;wound infection （ 11.6% ） ;the urinary tract infection （30. 3% ）. The patients in the group treated by radical hysterectomy plus pelvic lymphadenectomy was likely to devlop short - term postoperative complication compared with the patients in the group by modified radical hysterectomy plus pelvic lymphadenectomy. Conclusion The complication of radical hysterectomy with pelvic lymphadenectomy is correlated with the surgery mode. Properly reducing the extent of surgery may decrease incidence of complications.
出处
《医药论坛杂志》
2008年第17期17-18,共2页
Journal of Medical Forum
关键词
宫颈癌根治术
手术并发症
临床分析
Radical hysterectomy
Pelvic lymphadenectomy
Clinical analysis
