复发性卵巢癌再次手术后并发症及其相关因素分析  

Factors influencing the complications of the secondary cytoreductive surgery in recurrent ovarian carcinoma

作　　者：吴楠霖[1] 刘霞[1] 陈妍[2] 赖曾珍[1] 蒲爽[1] 黄礼燕[1] 何跃东[1] 潘小玲[1] 彭芝兰[1] 

机构地区：[1]四川大学华西第二医院妇产科,四川成都610041 [2]解放军第452医院妇产科,四川成都610041

出　　处：《中国实用妇科与产科杂志》2009年第11期837-839,共3页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的探讨复发性卵巢癌再次手术后并发症的相关因素和防治方法。方法回顾性分析1995年3月至2004年6月四川大学华西第二医院111例复发性卵巢癌行再次手术治疗患者的临床资料。结果复发性卵巢癌再次手术后并发症总发生率为25.2%,较初次手术术后并发症发生率(7.2%)明显增加,主要为腹部伤口感染、肠梗阻、肠瘘和直肠壁损伤等。<60岁组和≥60岁组腹部伤口感染率分别为5.1%(4/78)和24.2%(8/33)。术后全身支持治疗可使感染发生率由19.1%降至4.7%。结论复发性卵巢癌再次手术后并发症的发生与患者年龄、术后营养状况、手术方式以及术者的经验技能等有关,充分的术前准备和围手术期支持治疗可降低并发症的发生率。Objective To analyze the risk factors influencing the complications of the secondary cytoreduetive surgery in recurrent ovarian carcinoma. Methods The surgical and clinical data were retrospectively reviewed in 111 cases of recurrent ovarian carcinoma with secondary cytoreductive surgery. Chi - square test was used for statistic analysis. Results Postoperative complications occurred in 25.2% of the operated patients, much more than that （7. 2% ） in the initial surgery. The main complications are the abdominal wound infection, the intestinal obstruction, the intestinal fistula and the rectum injury, etc. By providing supportive treatments to the patients, the infection rate dropped from 19. 1% to 4. 7%. Conclusions Complications had some relationships with patient＇s age, postoperative nutritional status, the way of operation, surgery experience and skill, and hospital equipment and conditions, etc. Well-done preparations before the operation and supportive treatments around the operation can reduce the complication rate.

关 键 词：卵巢肿瘤 肿瘤复发 再次手术 腹部伤口感染 肠梗阻 

分 类 号：R71[医药卫生—妇产科学]