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Received:May 12, 2022 Published Online:July 19, 2023
Received:May 12, 2022 Published Online:July 19, 2023
中文摘要: 目的 分析早期宫颈恶性肿瘤患者行根治术后发生肠梗阻的影响因素。
方法 回顾性分析绵阳市中心医院2020年1月到2021年1月间收治的早期宫颈恶性肿瘤并行根治术的142例患者的资料,分析肿瘤根治术后患者1个月内并发肠梗阻的危险因素。 结果 142例患者中有 14例(10.9%)患者在术后内发生肠梗阻。肠梗阻的发生与患者的手术时间、术中出血量、既往有无腹盆腔手术史、年龄、是否有高血压、术后禁食时长有关(P<0.05),与患者FIGO临床分期、术后血钾水平、进腹途径无关(P>0.05)。二分类logistic回归分析显示,术后禁食时间≥2 d(OR=17.620)、既往有腹盆腔手术史(OR=10.835)是宫颈恶性肿瘤术后并发肠梗阻的独立危险因素(P<0.01)。结论 避免长时间禁食,早发现早治疗,避高龄手术等可有效避免早期宫颈恶性肿瘤患者根治术后发生肠梗阻。
Abstract:Objective To analyze the influencing factors for intestinal obstruction in patients with early cervical malignant tumors after radical surgery.
Methods A retrospective analysis of the data of 142 patients with early cervical malignant tumors who underwent radical surgery in Mianyang Central Hospital from January 2020 to January 2021 were conducted, and the risk factors for intestinal obstruction in patients within one month after radical surgery were analyzed. 〖JP〗
Results Fourteen out of 142 patients(10.9%) developed intestinal obstruction after surgery. The occurrence of intestinal obstruction was related to the surgical time, intraoperative bleeding volume, previous history of abdominal and pelvic surgery, age, presence of hypertension, and postoperative fasting duration(P<0.05), but not to the patient’s FIGO clinical stage, postoperative blood potassium level, and abdominal approach(P>0.05). The binary logistic regression analysis showed that postoperative fasting time≥2 d (OR=17.620)and previous history of abdominal and pelvic surgery (OR=10.835) were independent risks of postoperative intestinal obstruction in cervical malignant tumor patients(P<0.01).
Conclusion Avoiding prolonged fasting, early detection, early treatment, and avoiding elderly surgery can effectively prevent intestinal obstruction in patients with early cervical malignant tumor after radical surgery.
keywords: Cervical malignant tumor Radical surgery for cervical cancer Intestinal obstruction Postoperative fasting
文章编号: 中图分类号:R711.74 文献标志码:A
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