| 赵冬冰,侯广霞,赵 丽,满 竹,吴艳云.全子宫切除术后盆腔肿块的发生因素调查分析[J].,2021,(1):92-95 |
| 全子宫切除术后盆腔肿块的发生因素调查分析 |
| Investigation and Analysis of Pelvic Masses after Total Hysterectomy |
| 投稿时间：2020-03-28 修订日期：2020-04-24 |
| DOI：10.13241/j.cnki.pmb.2021.01.019 |
| 中文关键词: 女性 全子宫切除术 盆腔肿块 宫颈癌 手术时间 |
| 英文关键词: Female Total hysterectomy Pelvic mass Cervical cancer Operation time |
| 基金项目:辽宁省自然科学基金项目（20180551091） |
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| 中文摘要: |
| 摘要 目的：调查与探讨全子宫切除术后患者出现盆腔肿块的发生因素。方法：2017年9月至2019年3月选择在北部战区总医院（本院）进行择期全子宫切除术的女性患者178例，所有患者都给予全子宫切除术，患者取膀胱截石位，选用连续硬膜外麻醉或静脉复合麻醉，宫颈扩张棒扩张宫颈口，切除病灶部位。记录所有患者的一般资料（包括疾病类型、孕次、产次、年龄、体重指数等）与围手术期指标（包括手术时间、术中出血量、术后排气时间、术后住院时间），以及术后并发症发生情况；在术后6个月进行经阴道超声观察，判断患者术后盆腔肿块发生情况并进行调查分析。结果：术后随访6个月，178例患者中发生盆腔肿块14例，发生率为7.9 %。发生其他并发症17例，其中切口感染4例，淋巴囊肿6例，尿潴留5例，下肢静脉血栓2例。在178例患者中，不同手术时间、术中出血量、孕次、产次、年龄、疾病类型患者的盆部肿发生率对比差异有统计学意义(P<0.05)。以单因素分析中有统计学意义的指标作为自变量，以盆腔肿块作为因变量，Logistic回归分析显示手术时间、孕次、产次、疾病类型等为导致盆腔肿块发生的主要因素(P<0.05)。结论：女性全子宫切除术后患者盆腔肿块比较常见，手术时间、孕次、产次、疾病类型等为导致盆腔肿块发生的主要因素。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate and explore the causes of pelvic mass after total hysterectomy. Methods: From September 2017 to March 2019, 178 female patients who chose elective total hysterectomy in the Northern Theater General Hospital (our hospital). All patients were given a total hysterectomy. Record general information of all patients (including disease type, pregnancy, parity, age, body mass index) and perioperative indicators (including operation time, intraoperative blood loss, postoperative exhaust time, postoperative hospital stay). And the occurrence of postoperative complications. Guided ultrasound observation was performed at 6 months after operation to determine the occurrence of pelvic masses in patients and to investigate and analyze them. Results: After 6 months of followed-up, there were 14 cases of pelvic masses occurred in the 178 patients that the incidence rates was 7.9 %. Other complications occurred in 17 cases, including incision infection in 4 cases, lymph cysts in 6 cases, urinary retention in 5 cases, and lower limb venous thrombosis in 2 cases. Among the 178 patients, there was a significant difference in the incidences of pelvic edema in patients with different operation time, intraoperative blood loss, pregnancy, parity, age, and disease type (P<0.05). Taking statistically significant indicators in the single factor analysis as independent variables and pelvic masses as dependent variables, Logistic regression analysis showed that operation time, pregnancy, parity, and disease type were the main factors leaded to the occurrence of pelvic masses (P<0.05). Conclusion: Pelvic masses are more common in female patients after total hysterectomy. Operation time, pregnancy, parity, and disease type are the main factors that cause pelvic masses. |
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