机器人辅助腹腔镜下子宫颈癌术后盆腔淋巴囊肿形成的危险因素分析  

Analysis of risk factors for lymphocyst formation after robot-assisted laparoscopic radical hysterectomy of cervical cancer

作　　者：李琳[1] 赵倩[1] 郝璐瑶 马姝琦 LI Lin;ZHAO Qian;HAO Luyao;MA Shuqi(Department of Gynecology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院妇科,450000

出　　处：《中国妇产科临床杂志》2022年第2期124-126,共3页Chinese Journal of Clinical Obstetrics and Gynecology

摘　　要：目的评估达芬奇机器人辅助腹腔镜下宫颈癌术后盆腔淋巴囊肿形成的影响因素。方法收集2017年12月至2019年12月于郑州大学第一附属医院妇科行达芬奇机器人辅助腹腔镜下子宫颈癌根治术的186例患者进行回顾性分析,按术后是否形成盆腔淋巴囊肿将患者分为发生淋巴囊肿组(n=40)与未发生淋巴囊肿组(n=146),采用单因素分析及多因素logistic回归分析术后发生盆腔淋巴囊肿的影响因素。结果单因素分析结果显示,术后盆腔淋巴囊肿发生与患者的年龄、临床分期、淋巴结切除范围及数目、术后同步放化疗、体质指数(BMI)相关(P<0.05);logistic回归分析显示,患者的临床分期、淋巴结切除范围及数目、术后同步放化疗、BMI的OR值均>1,是术后并发盆腔淋巴囊肿的危险因素(P<0.05)。结论临床分期、淋巴结切除范围及数目、术后同步放化疗、BMI为达芬奇机器人辅助腹腔镜子宫颈癌根治术后发生盆腔淋巴囊肿的危险因素。Objective To evaluate the factors influencing the formation of pelvic lymphocysts after Da Vinci robot-assisted laparoscopic radical hysterectomy of cervical cancer.Methods A retrospective study was conducted on 186 patients who underwent Da Vinci robot-assisted laparoscopic radical cervical cancer surgery from December 2017 to December 2019 in the Department of Gynecology,First Affiliated Hospital of Zhengzhou University.According to whether pelvic lymphocysts were formed after surgery,the patients were divided into the lymphocyst group(n=40)and the non-lymphocysts group(n=146).Univariate analysis and multivariate Logistic regression were performed to analyze the influencing factors of postoperative pelvic lymphocysts.Results Univariate analysis showed that the occurrence of postoperative pelvic lymphocysts was correlated with the patient’s age,clinical stage,lymph node removal range and number,postoperative concurrent radiotherapy and chemotherapy,body mass index(BMI)(P<0.05).Logistic regression analysis shown that the clinical stage,the range and number of lymph node resection,concurrent postoperative radiotherapy and chemotherapy,and BMI were the risk factors for postoperative pelvic lymphocysts(P<0.05),and the OR values were>1.Conclusion The results show that clinical staging,range and number of lymph node dissection,postoperative concurrent radiotherapy and chemotherapy,BMI are risk factors for the occurrence of pelvic lymphocysts after Da Vinci robot-assisted laparoscopic radical hysterectomy of cervical cancer.

关 键 词：达芬奇机器人 子宫颈癌 淋巴囊肿 危险因素 

分 类 号：R737.33[医药卫生—肿瘤]