宫颈癌术后发生膀胱功能障碍的相关影响因素分析

Analysis of Related Influencing Factors for Postoperative Bladder Dysfunction in Cervical Cancer Patients

目的探讨宫颈癌(CC)患者术后发生膀胱功能障碍的影响因素。方法选取2021年1月至2022年6月医院收治的80例CC患者,所有患者均接受腹腔镜根治术治疗,统计所有患者术后3个月时膀胱功能障碍发生情况,根据结果分为发生组与未发生组,设计基线资料调查表,详细统计两组患者的基线资料并比较,重点分析CC患者术后发生膀胱功能障碍的影响因素。结果80例CC患者经评估,术后发生膀胱功能障碍有23例,占比28.75%(23/80);发生组与未发生组的年龄、尿路炎症、受教育程度及导尿管留置时间比较,有统计学差异(P<0.05),组间BMI、手术时间、肿瘤类型、合并慢性病、定时排尿、手术范围及医疗费用支付方式比较,无统计学差异(P>0.05);经回归分析,结果显示,年龄、导尿管留置时间、受教育程度及尿路炎症均是CC患者术后发生膀胱功能障的影响因素(OR>1,P<0.05)。结论CC患者术后发生膀胱功能障碍的风险较高,年龄、导尿管留置时间、受教育程度及尿路炎症均是CC患者术后发生膀胱功能障的影响因素。

Objectives To explore the influencing factors of postoperative bladder dysfunction in patients with cervical cancer(CC).Methods 80 patients with CC admitted to the hospital from January 2021 to June 2022 were selected,all of whom underwent laparoscopic radical surgery.The incidence of bladder dysfunction in all patients at 3 months after surgery was analyzed,and they were divided into two groups based on the results.A baseline data questionnaire was designed to collect and compare the baseline data of the two groups of patients,with a focus on analyzing the influencing factors of postoperative bladder dysfunction in CC patients.Results After evaluation,23 out of 80 CC patients developed bladder dysfunction after surgery,accounting for 28.75%(23/80);there were statistical differences in age,urinary tract inflammation,education level and retention time of catheter between the occurrence group and the non occurrence group(P<0.05).There were no statistical differences in BMI,operation time,tumor type,combined chronic diseases,regular urination,scope of operation and payment of medical expenses between the groups(P>0.05);regression analysis showed that age,retention time of catheter,education level and urinary tract inflammation were the influencing factors of bladder dysfunction in CC patients after surgery(OR>1,P<0.05).Conclusion Patients with CC have a higher risk of bladder dysfunction after surgery.Age,retention time of catheter,education level and urinary tract inflammation are all influencing factors for bladder dysfunction after surgery.