妇科恶性肿瘤术后淋巴囊肿发生及合并感染的相关因素及疗效分析  

Analysis of the Related Factors and Efficacy of Gynecological Malignancy

作　　者：侯俊红 田甜[1] 建珊炎 HOU Junhong;TIAN Tian;JIAN Shanyan(Henan Cancer Hospital,Zhengzhou,450000)

机构地区：[1]河南省肿瘤医院,450000

出　　处：《实用癌症杂志》2023年第7期1158-1161,共4页The Practical Journal of Cancer

摘　　要：目的探讨妇科恶性肿瘤术后淋巴囊肿发生及合并感染的相关因素及其治疗效果。方法回顾性分析225例妇科恶性肿瘤术后患者临床资料,依据是否发生淋巴囊肿分为2组,统计2组临床资料,进行多因素分析,获取淋巴囊肿发生的独立影响因素。同时依据淋巴囊肿患者是否合并感染再分为2组,统计2组临床资料,进行多因素分析,获取淋巴囊肿合并感染的影响因素。所有患者均采取抗菌药物治疗。结果225例妇科恶性肿瘤术后患者,经体格检查、影像学检查等发现68例淋巴囊肿,发生率为30.22%(68/225);68例术后淋巴囊肿患者中出现19例合并感染,发生率为27.94%(19/68);多因素分析显示,引流管留置时间、体质量指数、甘油三酯(TG)水平及切除淋巴结数目是妇科恶性肿瘤术后发生淋巴囊肿的独立影响因素(P<0.05,且OR>1);多因素分析显示,糖尿病、引流管留置时间、囊肿直径大小是淋巴囊肿合并感染发生的独立影响因素(P<0.05,且OR>1)。19例淋巴囊肿合并感染患者均采用抗菌药物治疗,其中囊肿直径>5 cm的13例患者联合超声引导下穿刺引流治疗,均取得良好治疗效果。结论引流管留置时间、体质量指数、TG水平等为妇科恶性肿瘤术后淋巴囊肿发生的影响因素,糖尿病、引流管留置时间、囊肿直径大小为囊肿合并感染的影响因素,临床需予以充分重视,尽早加以干预,以降低囊肿及合并感染发生风险。合并感染后还需积极进行抗菌治疗,并联合超声引导穿刺引流术,以加快疾病消失。Objective To explore the related factors and therapeutic effects of postoperative lymphocyst and associated infection in gynecological malignant tumors.Methods Clinical data of 225 patients with gynecological malignant tumor after operation were retrospectively analyzed.They were divided into 2 groups according to the occurrence of lymphocyst.The clinical data of the 2 groups were statistically analyzed,and the independent factors affecting the occurrence of lymphocyst were obtained.At the same time,the patients with lymphocyst were divided into 2 groups according to whether they were complicated with infection,and the clinical data of the 2 groups were statistically analyzed to obtain the influencing factors of lymphocyst complicated with infection.All patients were treated with antibacterial drugs.Results Of the 225 patients with gynecological malignant tumor after operation,68 cases of lymphocyst were found by physical examination and imaging examination,the incidence was 30.22%(68/225);Among 68 cases of postoperative lymphocyst,19 cases were complicated with infection,the incidence was 27.94%(19/68);Multivariate analysis showed that the indwelling time of drainage tube,body mass index,triglyceride(TG)level and the number of excised lymph nodes were the independent factors affecting the occurrence of lymphocyst after gynecological malignant tumor surgery(P<0.05,and OR>1);Multivariate analysis showed that diabetes,indwelling time of drainage tube and cyst diameter were the independent factors affecting the incidence of lymphocyst with infection(P<0.05,and OR>1).19 patients with lymphocyst complicated with infection were treated with antibacterial drugs.Among them,13 patients with cyst diameter>5 cm were treated with ultrasound-guided puncture and drainage,and all achieved good results.Conclusion The indwelling time of drainage tube,body mass index and TG level are the influencing factors for lymphocyst after gynecological malignant tumor surgery.Diabetes,indwelling time of drainage tube,and cyst diameter are th

关 键 词：妇科恶性肿瘤 淋巴结切除术 淋巴囊肿 感染 影响因素 

分 类 号：R737.3[医药卫生—肿瘤]