宫颈癌患者腹腔镜根治术后并发膀胱功能障碍的影响因素  

Influencing Factors of Bladder Dysfunction After Laparoscopic Radical Resection in Patients with Cervical Cancer

作　　者：刘璐 LIU Lu(Department of Gynecology,the First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,China)

机构地区：[1]河南科技大学第一附属医院妇科,河南洛阳471000

出　　处：《河南医学研究》2021年第30期5619-5622,共4页Henan Medical Research

摘　　要：目的探讨宫颈癌患者腹腔镜根治术后并发膀胱功能障碍的影响因素。方法选取2019年4月至2021年4月于河南科技大学第一附属医院接受腹腔镜根治术治疗的66例宫颈癌患者。术后随访3个月,参照相关标准评估患者膀胱功能障碍发生情况。按是否发生膀胱功能障碍将患者分为发生组和未发生组。设计一般资料调查问卷,统计患者的临床资料,分析宫颈癌患者腹腔镜根治术后并发膀胱功能障碍的影响因素。结果66例宫颈癌患者腹腔镜根治术后有42例发生膀胱功能障碍,占63.64%。发生组存在尿路炎症和偶尔锻炼人数的占比高于未发生组,发生组导尿管留置时间长于未发生组(P<0.05)。经logistic回归分析结果显示,有尿路炎症、术后偶尔康复锻炼、导尿管留置时间长是宫颈癌患者腹腔镜根治术后并发膀胱功能障碍的影响因素(OR>1,P<0.05)。结论有尿路炎症、术后偶尔康复锻炼、导尿管留置时间长是宫颈癌患者腹腔镜根治术后并发膀胱功能障碍的影响因素。Objective To investigate the influencing factors of bladder dysfunction after laparoscopic radical resection in patients with cervical cancer.Methods A total of 66 patients with cervical cancer who underwent laparoscopic radical resection in the First Affiliated Hospital of Henan University of Science and Technology from April 2019 to April 2021 were selected.The patients were followed up for 3 months after operation.According to relevant standards,the occurrence of bladder dysfunction of patients was evaluated.The patients were divided into occurrence group and non-occurrence group according to whether bladder dysfunction occurred or not.A general data questionnaire was designed,and the clinical data of patients were collected.The influencing factors of bladder dysfunction in patients with cervical cancer after radical laparoscopic surgery were analyzed.Results Among 66 patients with cervical cancer who underwent laparoscopic radical resection,bladder dysfunction occurred in 42 cases,accounting for 63.64%.The proportions of people with urinary tract inflammation and occasional exercise in occurrence group were higher than those in non-occurrence group,and the indwelling time of urinary catheter in occurrence group was longer than that in non-occurrence group(P<0.05).Logistic regression analysis showed that urinary tract inflammation,occasional postoperative rehabilitation exercise and long indwelling time of urinary catheter were the influencing factors of bladder dysfunction in patients with cervical cancer after laparoscopic radical operation(OR>1,P<0.05).Conclusion Urinary tract inflammation,occasional postoperative rehabilitation exercise and long indwelling time of urinary catheter are the influencing factors of bladder dysfunction after laparoscopic radical resection in patients cervical cancer.

关 键 词：宫颈癌 腹腔镜根治术 膀胱功能障碍 康复锻炼 导尿管留置时间 

分 类 号：R711.74[医药卫生—妇产科学]