本文關鍵詞： 宮頸癌 經(jīng)腹廣泛子宮切除術 出血 手術時間 淋巴結數(shù)目　出處：《廣西醫(yī)科大學》2014年碩士論文　論文類型：學位論文

【摘要】：目的：分析經(jīng)腹宮頸癌根治術術中出血的相關因素。探討減少經(jīng)腹宮頸癌根治術術中出血的方法。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+盆腔淋巴結清掃術±腹主動脈旁淋巴結取樣術的臨床資料、手術數(shù)據(jù)及病理數(shù)據(jù)。使用SPSS17.0行單因素及多因素分析。結果：193例患者術中平均出血量300ml(50-3000ml)。平均手術時間為260±62min。多因素分析結果示手術時間是手術出血≥300ml的獨立危險因素。手術時間長、淋巴結數(shù)目多是術中出血≥800ml的獨立危險因素。早期宮頸癌可能術中出血風險小,但存在混雜因素影響。結論：手術時間長、獲得淋巴結數(shù)目多,手術出血≥800ml的風險大。術中在提高自身手術操作的同時,引進先進手術器材及手術方法可減少手術時間,進而減少術中出血的發(fā)生。臨床早期宮頸癌可能手術出血風險小。在細心、規(guī)范的操作下,術前合并貧血、肥胖、年齡超過50歲、手術史及術前使用化療藥可不增加術中出血≥800ml的風險。
[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