本文選題：宮頸癌 + 淋巴囊腫��； 參考：《中國老年學(xué)雜志》2015年11期

【摘要】：目的探討宮頸癌術(shù)后盆腔淋巴囊腫及術(shù)后輔助治療期間囊腫并發(fā)感染的危險因素。方法選取2008年10月至2014年6月承德市中心醫(yī)院宮頸癌術(shù)后輔助治療期間盆腔淋巴囊腫的患者67例為病例組,應(yīng)用分層隨機抽樣方法選取同期宮頸癌術(shù)后無盆腔淋巴囊腫的患者67例為對照組。輔助治療期間囊腫并發(fā)感染13例。收集患者的臨床資料分析宮頸癌術(shù)后盆腔淋巴囊腫發(fā)生的危險因素、術(shù)后輔助治療期間淋巴囊腫并發(fā)感染的危險因素。結(jié)果單因素分析顯示并發(fā)盆腔淋巴囊腫組中60歲、Ⅱ期、術(shù)中淋巴結(jié)清掃數(shù)20個、術(shù)后24 h引流量100 ml的患者比例明顯高于未并發(fā)盆腔淋巴囊腫組(P0.05),以上因素為并發(fā)盆腔淋巴囊腫的可能危險因素。囊腫并發(fā)感染組中有糖尿病及囊腫直徑5 cm的患者比例明顯高于未并發(fā)感染的盆腔淋巴囊腫組(P0.05),以上因素為囊腫并發(fā)感染的可能危險因素。對單因素分析中的危險因素行多因素Logistic回歸分析顯示:年齡60歲〔相對比值比(OR)=2.762,95%可信區(qū)間(CI)1.260~6.055〕、Ⅱ期(OR=2.238,95%CI 1.031~4.858)、術(shù)中淋巴結(jié)清掃數(shù)20個(OR=2.651,95%CI 1.141~6.161)是宮頸癌術(shù)后并發(fā)盆腔淋巴囊腫的獨立危險因素(P0.05)。糖尿病(OR=5.518,95%CI 1.018~29.913)、囊腫直徑5 cm(OR=8.284,95%CI 1.842~37.247)是術(shù)后輔助治療期間囊腫并發(fā)感染的獨立危險因素。結(jié)論年齡60歲、Ⅱ期、術(shù)中淋巴結(jié)清掃數(shù)20個是宮頸癌術(shù)后出現(xiàn)盆腔淋巴囊腫的獨立危險因素。糖尿病、囊腫直徑5 cm是術(shù)后輔助治療期間囊腫并發(fā)感染的獨立危險因素。
[Abstract]:Objective to investigate the risk factors of pelvic lymphoid cysts complicated with infection during postoperative adjuvant therapy for cervical cancer. Methods from October 2008 to June 2014, 67 patients with pelvic lymphoid cysts in Chengde Central Hospital during postoperative adjuvant treatment for cervical cancer were selected as the case group. A stratified random sampling method was used to select 67 patients without pelvic lymphocyst in the same period of cervical cancer operation as control group. 13 cases of cysts complicated with infection during adjuvant therapy. The clinical data of the patients were collected to analyze the risk factors of pelvic lymphocysts after cervical cancer operation and the risk factors of lymphocysts complicated with infection during postoperative adjuvant therapy. Results univariate analysis showed that the patients with pelvic lymphocysts were 60 years old, stage 鈪，

本文編號：1835708