121例宫颈癌根治术近期并发症分析

An Analysis of Short-term Complications with Radical Hysterectomy in 121 Cases with Cervical Cancer

[目的]探讨广泛性子宫切除术治疗宫颈癌的术后近期并发症及降低并发症的方法。[方法]121例宫颈癌行广泛性子宫切除术,其中临床分期Ⅰa期19例,Ⅰb期62例,Ⅱa期34例,Ⅱb期6例。其中宫颈鳞癌111例(91.7%),其它类型10例(8.3%)。[结果]常见的近期手术并发症为泌尿系统并发症,术后泌尿系统感染发生率为12.4%,尿潴留发生率为9.1%,腓深静脉血栓发生率为2.5%而无股静脉血栓、尿瘘、盆腔感染发生。[结论]熟悉盆腔解剖,提高手术熟练程度,术中仔细操作,术后使用广谱抗生素,加强护理,及早发现并处理并发症的前兆表现,可以降低手术并发症的发生率。

To evaluate the short-term complications with radical hysterectomy for cervical cancer,and the appropriate measures to reduce complications.One hundred and twenty-one patients with cervical carcino-ma underwent radical hysterectomy.The patients'stages were:ⅠA,19cases;ⅠB,62cases;ⅡA,34cases andⅡB,6cases.The majority of histological types was squamous cell carcinoma(111cases,91.7%).Miscellaneous types were10cases(8.3%).The common short-term complications attributed to surgery were urinary tract infec-tion(12.4%),urinary retention(9.5%),deep fibular vein embolism(2.5%).No femoral vein embolism,urinary fis-tula,and pelvic infection were found.[Conclusion]Being familiar with pelvic anatomy,proficient in surgical skill and reasonal post operative antibitics may reduce the surgical complications.