本文關(guān)鍵詞： 宮頸癌 經(jīng)腹廣泛子宮切除術(shù) 出血 手術(shù)時(shí)間 淋巴結(jié)數(shù)目　出處：《廣西醫(yī)科大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：分析經(jīng)腹宮頸癌根治術(shù)術(shù)中出血的相關(guān)因素。探討減少經(jīng)腹宮頸癌根治術(shù)術(shù)中出血的方法。方法：回顧性地分析2011年1月-2013年12月在廣西醫(yī)科大學(xué)第一附屬醫(yī)院住院的193例診斷為宮頸癌IA2-IIA2期及經(jīng)新輔助化療后的IIB期患者并行經(jīng)腹廣泛宮頸癌根治術(shù)+盆腔淋巴結(jié)清掃術(shù)±腹主動(dòng)脈旁淋巴結(jié)取樣術(shù)的臨床資料、手術(shù)數(shù)據(jù)及病理數(shù)據(jù)。使用SPSS17.0行單因素及多因素分析。結(jié)果：193例患者術(shù)中平均出血量300ml(50-3000ml)。平均手術(shù)時(shí)間為260±62min。多因素分析結(jié)果示手術(shù)時(shí)間是手術(shù)出血≥300ml的獨(dú)立危險(xiǎn)因素。手術(shù)時(shí)間長、淋巴結(jié)數(shù)目多是術(shù)中出血≥800ml的獨(dú)立危險(xiǎn)因素。早期宮頸癌可能術(shù)中出血風(fēng)險(xiǎn)小,但存在混雜因素影響。結(jié)論：手術(shù)時(shí)間長、獲得淋巴結(jié)數(shù)目多,手術(shù)出血≥800ml的風(fēng)險(xiǎn)大。術(shù)中在提高自身手術(shù)操作的同時(shí),引進(jìn)先進(jìn)手術(shù)器材及手術(shù)方法可減少手術(shù)時(shí)間,進(jìn)而減少術(shù)中出血的發(fā)生。臨床早期宮頸癌可能手術(shù)出血風(fēng)險(xiǎn)小。在細(xì)心、規(guī)范的操作下,術(shù)前合并貧血、肥胖、年齡超過50歲、手術(shù)史及術(shù)前使用化療藥可不增加術(shù)中出血≥800ml的風(fēng)險(xiǎn)。
[Abstract]:Objective: to analyze the related factors of intraoperative hemorrhage in radical operation of transabdominal cervical cancer and to explore the methods to reduce the bleeding during radical operation of cervical cancer. Methods: the first report of Guangxi Medical University from January 2011 to December 2013 was retrospectively analyzed. The clinical data of 193 patients with IA2-IIA2 and IIB diagnosed by neoadjuvant chemotherapy and pelvic lymph node dissection after radical resection of cervical carcinoma were analyzed. Surgical data and pathological data. Univariate and multivariate analysis using SPSS17.0. Results the average intraoperative bleeding volume in 193 cases was 300ml / 503000ml / min. The mean operative time was 260 鹵62min. The results of multivariate analysis showed that the operative time was an independent risk of surgical bleeding 鈮，

本文編號：1508292