早期宫颈癌患者术后盆腔淋巴囊肿形成的因素分析  

Analysis of Factors Influencing the Formation of Pelvic Lymphatic Cyst in Patients with Early Cervical Cancer

作　　者：邵巧云[1] 王文凤 董国锋[1] 闫红丽[1] SHAO Qiaoyun;WANG Wenfeng;DONG Guofeng(The Second Affiliated Hospital of Luohe Medical College,Luohe,462300)

机构地区：[1]漯河医学高等专科学校第二附属医院,462300

出　　处：《实用癌症杂志》2022年第11期1859-1862,共4页The Practical Journal of Cancer

摘　　要：目的分析早期宫颈癌患者术后盆腔淋巴囊肿(PL)形成的因素。方法选取术后发生PL的早期宫颈癌患者64例作为发生组,并以1∶1配比选取同期术后未发生PL的早期宫颈癌患者64例作为未发生组。采用我院自制调查问卷收集两组患者年龄、临床分期、病理类型、手术方法、淋巴结清除范围等信息,分析早期宫颈癌患者术后PL形成的因素。结果手术方法、手术器械、淋巴结清除范围、引流天数、术后放化疗是影响早期宫颈癌患者术后PL形成的单因素(P<0.05);logistic回归分析显示,使用单极电刀、淋巴结清除范围为盆腔+腹主动脉旁、术后放化疗是早期宫颈癌患者术后PL形成的危险因素,采用腹腔镜手术、引流天数≤3 d是早期宫颈癌患者术后PL形成的保护因素(P<0.05)。结论影响早期宫颈癌患者术后PL形成的因素较多,手术方法、淋巴结清除范围、术后放化疗等因素均会造成术后PL的发生,临床应根据上述危险因素采取有效预防措施,降低PL发生率,改善患者预后。Objective To analyze the factors of pelvic lymphatic cyst(PL)formation in patients with early cervical cancer.Methods 64 patients with early cervical cancer who developed PL were selected as the occurrence group,and 64 patients with early cervical cancer who did not develop pl in the same period were selected as the non occurrence group.Age,clinical stage,pathological type,operation method,lymph node clearance range and other information of the 2 groups were collected by using the self-made questionnaire,and the factors of postoperative PL formation in patients with early cervical cancer were analyzed.Results Surgical methods,surgical instruments,lymph node clearance range,drainage days and postoperative radiotherapy and chemotherapy were the single factors affecting the formation of PL in patients with early cervical cancer(P<0.05);Logistic regression analysis showed that the use of unipolar electric knife,lymph node clearance range of pelvic cavity+abdominal aorta,postoperative radiotherapy and chemotherapy were the risk factors of postoperative PL formation in patients with early cervical cancer,and laparoscopic surgery and drainage days≤3 days were the protective factors of postoperative PL formation in patients with early cervical cancer(P<0.05).Conclusion There are many factors affecting the formation of postoperative PL in patients with early cervical cancer.Surgical methods,lymph node clearance range,postoperative radiotherapy and chemotherapy and other factors will cause the occurrence of postoperative PL.Effective preventive measures should be taken according to the above risk factors to reduce the incidence of PL and improve the prognosis of patients.

关 键 词：宫颈癌 早期 盆腔淋巴囊肿 影响因素 

分 类 号：R737.33[医药卫生—肿瘤]