保健医学研究与实践2024，Vol.21Issue(Z2)：102-107,6.DOI:10.11986/j.issn.1673-873X.2024.S2.21
宫颈癌术后大直径淋巴囊肿及淋巴囊肿继发感染影响因素探讨
Factors influencing the formation of large-diameter lymphoceles and secondary infections of lymphoceles after cervical cancer surgery
邓立文 1李玉芝1
作者信息
- 1. 蚌埠医科大学第一附属医院肿瘤妇科,安徽 蚌埠 233000
- 折叠
摘要
Abstract
Objective To investigate the factors influencing the formation of large-diameter lymphoceles and secondary infec-tions of lymphoceles after surgery in patients with early-stage cervical cancer.Methods The medical records of 380 patients who underwent radical surgery for early-stage cervical cancer between February 2021 and February 2022 were retrospectively analyzed.Univariate linear analysis and multivariate Logistic regression analysis were used to identify the factors affecting the formation of large-diameter lymphoceles and secondary infections.Results Among the 380 cervical cancer patients,208 cases of lymphoceles were identified(54.74%),with the longest diameter ranging from 8 mm to 170 mm.Of these,83 ca-ses were larger than 50 mm,resulting in an incidence rate of 21.84%(83/380).Univariate analysis revealed factors associ-ated with the occurrence of large-diameter lymphoceles(P<0.05).Multivariate logistic regression analysis showed that preoperative normal BMI(OR=0.609),intraoperative pelvic lymph node dissection(OR=0.472),use of an ultrasonic scalpel(OR=0.482),fewer number of lymph nodes dissected(OR=0.693),and postoperative adjuvant therapy of lower intensity(OR=0.725)were protective factors for lymphocele formation(P<0.05).A total of 15 patients with lymphocele infection were observed,with an incidence rate of 7.21%(15/208).Univariate analysis revealed factors associated with the occurrence of secondary lymphocele infection(P<0.05).Multivariate logistic regression analysis indicated that the absence of anemia(OR=0.114)was a protective factor,while high blood glucose(OR=9.028)and larger longest diameter of lym-phocele(OR=13.455)were independent risk factors for secondary infection.Conclusion The implementation of individu-alized and appropriate treatment measures can help reduce the incidence of large-diameter lymphoceles and secondary infec-tions.关键词
宫颈癌/淋巴结切除术/淋巴囊肿/感染Key words
Cervical cancer/Lymphadenectomy/Lymphocele/Infection分类
医药卫生引用本文复制引用
邓立文,李玉芝..宫颈癌术后大直径淋巴囊肿及淋巴囊肿继发感染影响因素探讨[J].保健医学研究与实践,2024,21(Z2):102-107,6.
