宫颈癌腹腔镜根治术术中与术后并发症发生率及影响因素的对比研究

Comparison of the rate and influence factors of intraoperative and postoperative complications of cervical cancer treated by laparoscopic radical hysterectomy

摘要:

目的??通过对比研究宫颈癌腹腔镜根治术下术中与术后并发症发生率及并发症影响因素，来指导今后此类手术的临床实践。方法?回顾性分析2013年1月－2015年12月于该院接受宫颈癌腹腔镜手术患者314例为研究对象，观察其并发症发生率，并用多因素分析法分析并发症的影响因素。结果?术中并发症例数为20例，占比为6.37%，术后并发症例数为80例，占比25.48%，术中并发症影响因素包括国际产科联盟（FIGO）、手术时间、医生手术经验，其中医生手术经验OR值最高，为2.00，95%置信区间为1.00～4.25；术后并发症影响因素主要包括年龄、体质指数（BMI）、淋巴结转移、FIGO、医生手术经验、手术时间，其中手术时间OR值最高，为4.69，95%置信区间为1.05～2.84。结论?宫颈癌腹腔镜根治术下术中与术后并发症很难完全避免，但可以通过对年龄、BMI、淋巴结转移、FIGO、手术时间和医生手术经验等影响因素的控制尽量减少并发症。

Abstract:

Objective?Through comparative study of the rate and influence factors of intraoperative and postoperative complications of cervical cancer after laparoscopic radical hysterectomy which to guide the clinical practice of this kind of surgery in the future.?Methods?The clinical data of 314 patients undergoing laparoscopic radical hysterectomy from January 2013 to December 2015, the complication rate was observed, and the influencing factors were analyzed by the method of multiple factor analysis.?Result?The number of intraoperative complications were 20 cases, accounting for 6.37%, the number of postoperative complications were 80 cases, accounting for 25.48%. Intraoperative complications influence factors including FIGO, surgery time, doctors surgery experience [OR=2.00, 95%CI (1.00~4.25)] which have the highest value. postoperative complications influence factors including age, body mass index (BMI), lymph node metastasis, FIGO, doctors surgery experience, operative time [OR=4.69, 95%CI (1.05~2.84)] which have the highest value.?Conclusions?Complications are difficult to avoid completely, but we can reduce it by age, BMI, lymph node metastasis, FIGO, operation time, doctor’s operation experience and so on.