宫颈癌广泛性子宫切除术后引起尿潴留发生的危险因素分析

The risk factors analysis of the incidence rate of uroschesis in patients with cervical cancer after extensive hysterectomy

目的探讨宫颈癌广泛性子宫切除术后引起尿潴留发生的危险因素。方法回顾性分析2008年8月至2011年6月收治的行广泛性子宫切除术加盆腔淋巴结清扫术宫颈癌患者92例，分析术后尿潴留发生率及其相关危险因素。结果92例患者中有31例术后出现尿潴留，发生率为33．70％。单因素分析表明，年龄、术中出血量、术后留置尿管时间、术后尿路感染与术后尿潴留有显著相关性（P〈0．05），而手术时间、临床分期、病理类型、术前辅助治疗、术后切口感染或脂肪液化与术后尿潴留无明显相关性（P〉0．05）。多因素Logistic回归分析表明，年龄、术后留置尿管时间和术后尿路感染为影响术后尿潴留的危险因素。结论年龄、术后留置尿管时间和术后尿路感染为影响广泛性子宫切除术后尿潴留的独立因素，采取综合措施适当缩短术后持续导尿时间，早期预防及控制尿路感染，是降低术后尿潴留的关键。

Objective To investigate the risk factors of uroschesis in patients with cervical cancer after extensive hysterectomy. Methods The clinical data of 92 patients with cervical cancer who had undergone extensive hysterectomy plus pelvic lymph node dissection from August 2008 to June 2011 were analyzed retrospectively. The incidence rate and related risk factors of urosehesis after operation were analyzed. Results Thirty-one of 92 cases had postoperative uroschesis. The incidence rate of uroschesis was 33.70%. Univariate analysis showed that age,intraoperative blood loss,time of indwelling urinary catheter and urinary tract infection had significant correlation with postoperative uroschesis （P 〈0.05）. While operative time, clinical stage, pathological type, preoperative adjuvant therapy, postoperative wound infection or fat liquefaction had no obvious correlation with postoperative urosehesis （P 〉 0.05 ）. Multivariate Logistic regression analysis showed that age,time of indwelling urinary catheter and urinary tract infection were risk factors of postoperative uroschesis. Conclusions Age,time of indwelling urinary catheter and urinary tract infection are independent factors of postoperative uroschesis. The key method to reduce the incidence rate of postoperative urosehesis is to shorten the continuous catheterization time with comprehensive measure,to prevent and control urinary tract infection in early time.