宫颈癌患者术后尿失禁发生情况及相关危险因素分析

Analysis of Postoperative Urinary Incontinence and Related Risk Factors in Patients with Cervical Cancer

目的 探讨宫颈癌患者术后尿失禁发生情况及相关危险因素。方法 选择69例宫颈癌患者,收集所有患者临床资料,依据患者是否存在术后尿失禁,将患者分为发生组(38例)及未发生组(31例)。分析影响宫颈癌患者术后尿失禁发生的相关影响因素。结果 发生组年龄≥45岁、肿瘤直径≥4 cm、已绝经、留置导尿管时间≥7 d发生率均高于未发生组,差异有统计学意义(P<0.05);年龄、肿瘤直径、绝经、留置导尿管时间是宫颈癌患者术后发生尿失禁的独立危险因素(OR值≥1,且P<0.05)。结论 术前应加强对年龄、绝经女性筛查,对于肿瘤直径较大的患者,需注意术中切除范围,术后尽早下床活动,缩短导尿管留置时间,有利于降低术后尿失禁发病率,提升患者生活质量。

Objective To investigate the occurrence of postoperative urinary incontinence and related risk factors in cervical cancer patients.Methods 69 cervical cancer patients were selected.Clinical data of all patients were collected and divided into occurrence group(38) and none occurrence group(31) according on the presence of postoperative urinary incontinence.To analyze the related factors affecting the occurrence of postoperative urinary incontinence in cervical cancer patients.Results The incidence of age≥ 45 years,tumor diameter ≥ 4cm,menopause,indwelling catheter time ≥ 7d were higher than the untreated group(P<0.05);age,tumor diameter,menopause and indwelling catheter time were independent risk factors for urinary incontinence in cervical cancer patients(OR ≥1 and P<0.05).Conclusion Preoperative screening of age and menopausal women should be strengthened.For patients with large tumor diameter,attention should be paid to the scope of intraoperative resection,and get up as soon as possible to shorten the time of catheter indwelling,which is conducive to reduce the incidence of postoperative incontinence and improve the quality of life of patients.