摘要
目的 分析宫颈癌患者行腹腔镜根治术后尿路感染发生的危险因素.方法 回顾性分析行腹腔镜根治术的100 例宫颈癌患者的病历有关资料,统计其尿路感染发生率;同时,收集所有患者的年龄等相关资料,以多因素Lo-gistic回归分析模型分析宫颈癌患者术后尿路感染发生的危险因素.结果 100 例宫颈癌患者行腹腔镜根治术后共有10 例发生尿路感染,发生率为10.00%(10/100).单因素分析显示:年龄、术中出血量、合并糖尿病、手术时间、导尿管留置时间、住院时间、合并尿潴留与宫颈癌患者行腹腔镜根治术后尿路感染的发生有关(P<0.05);多因素Logistic回归分析显示;年龄≥60 岁、术中出血量≥300 ml、合并糖尿病、手术时间≥3 h、导尿管留置时间≥10 d、住院时间≥20 d、合并尿潴留为宫颈癌患者行腹腔镜根治术治疗之后尿路感染发生的独立危险因素(P<0.05).结论 宫颈癌患者腹腔镜根治术后尿路感染发生的危险因素众多,如年龄≥60 岁、术中出血量≥300 ml、合并糖尿病、手术时间≥3 h、导尿管留置时间≥10 d等.
Abstract
Objective To analyze the risk factors for urinary tract infections in cervical cancer patients underwent lapa-roscopic radical surgery.Methods A retrospective analysis was conducted on the clinical data of 100 patients with cervical canc-er who underwent laparoscopic radical surgery,and the incidence of urinary tract infections was calculated;At the same time,rele-vant data such as age were collected from all patients,and a multivariate logistic regression analysis model was used to analyze the risk factors for postoperative urinary tract infections in cervical cancer patients.Results A total of 10 cases out of 100 cervical cancer patients underwent laparoscopic radical surgery and developed urinary tract infections,with an incidence rate of 10.00%(10/100).Univariate analysis showed that age,intraoperative bleeding,diabetes,operation time,catheter retention time,hospital stay,and urinary retention were related to the incidence of urinary tract infection in patients with cervical cancer after laparoscopic radical surgery(P<0.05);Multivariate logistic regression analysis showed that age≥60 years,intraoperative bleeding≥300 ml,combined with diabetes,operation time≥3 h,catheter retention time≥10 d,hospitalization time≥20 d,combined with urinary retention were independent risk factors for urinary tract infection after laparoscopic radical surgery for cervical cancer(P<0.05).Conclusion There are many risk factors for urinary tract infection in patients with cervical cancer after laparoscopic radical sur-gery,such as age≥60 years,intraoperative bleeding≥300 ml,diabetes,operation time≥3 hours,catheter retention time≥10 days,etc.
维普
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