直肠癌根治术后尿潴留发生情况及影响因素分析  

Analysis of Urinary Retention and Influencing Factors After Radical Rectal Cancer

作　　者：王静[1] 厉冰 李慧[1] WANG Jing;LI Bing;LI Hui(The First Affiliated Hospital of Henan University,Kaifeng,475001)

机构地区：[1]河南大学第一附属医院,475001

出　　处：《实用癌症杂志》2022年第6期950-952,共3页The Practical Journal of Cancer

基　　金：河南省高等学校重点科研项目(编号:21A320003)。

摘　　要：目的 探讨直肠癌根治术后尿潴留发生情况及其影响因素。方法 回顾性分析行直肠癌根治术治疗的90例患者资料,术后根据患者有无发生尿潴留分为发生组与未发生组,统计2组一般资料,包括性别、年龄、肿瘤下缘距肛门距离、肿瘤分期、手术类型、腹部手术史、术前合并泌尿系统疾病、手术时间,分析导致尿潴留发生的危险因素。结果90例患者术后有18例发生尿潴留,发生率为20.00%(18/90)。发生组男性、肿瘤分期(T4期)、腹腔镜手术、术前合并泌尿系统疾病、手术时间≥4 h患者占比均高于未发生组,差异有统计学意义(P<0.05);2组年龄、肿瘤下缘距肛门距离、腹部手术史等对比,差异无统计学意义(P>0.05)。Logistic回归分析:男性、肿瘤分期(T4期)、腹腔镜手术、术前合并泌尿系统疾病、手术时间≥4 h是直肠癌根治术后发生尿潴留的独立危险因素(P<0.05且OR≥1)。结论 直肠癌根治术后尿潴留发生率较高,男性、肿瘤分期(T4期)、腹腔镜手术、术前合并泌尿系统疾病、手术时间≥4 h等是其发生的影响因素,临床需针对高危因素制定干预措施,以预防尿潴留发生,改善患者预后。Objective To investigate the urinary retention and influencing factors after radical treatment of rectal cancer.Methods 90 patients treated with radical rectal cancer were retrospectively analyzed,and all patients were treated with it.After surgery,patients were divided into occurrence and untreated groups according to whether they had urinary retention occurred.General data were counted,including gender,age,tumor lower margin and anal distance,tumor stage,surgical type,abdominal surgery history,preoperative combined urinary system diseases and operation time,and analyzed the risk factors leading to urinary retention.Results The 18 patients had 20.00%(18/90),T4),laparoscopic surgery,preoperative urinary disease,≥4 h than the untreated group(P<0.05),age,anal distance,abdominal surgery(P>0.05).Logistic regression analysis:men,tumor stage(stage T4),laparoscopic surgery,preoperative combined urological disease,and ≥4 h were independent risk factors for urinary retention after radical rectal cancer(P<0.05 and OR≥1).Conclusion The high incidence of urinary retention after radical rectal cancer is mainly affected by men,tumor stage(T4),laparoscopic surgery,preoperative urinary disease,≥4 h,clinical needs to attach great importance to develop interventions to high risk factors to prevent urinary retention and improve the patient prognosis.

关 键 词：直肠癌根治术 尿潴留 影响因素 

分 类 号：R735.37[医药卫生—肿瘤]