【摘要】 目的 分析妇科恶性肿瘤行淋巴结切除术后发生淋巴漏的影响因素。方法 收集2020年8月至2023年8月在新疆医科大学第一附属医院因妇科恶性肿瘤行淋巴结切除术的354例患者的临床资料进行回顾性分析。采用单因素、多因素分析妇科恶性肿瘤淋巴结切除术后发生淋巴漏的影响因素。结果 354例中，33例术后发生淋巴漏，发生率为9.32%。单因素分析结果显示，体重指数（BMI）、切除淋巴结范围及术中淋巴结切除个数与术后发生淋巴漏有关（P<0.05）；与年龄、疾病类型、手术入路、是否淋巴结转移、术中出血量无关（P > 0.05）。多因素分析结果显示，BMI、淋巴结切除个数是妇科恶性肿瘤行淋巴结切除术后发生淋巴漏的危险因素（P<0.05）。结论 BMI、术中淋巴结切除个数是妇科恶性肿瘤淋巴结切除术后发生淋巴漏的影响因素，临床应加以重视。更多还原

【Abstract】 Objective To analyze the influencing factors of lymphatic leakage after lymphadenectomy in gynecological malignant tumors. Methods The clinical data of 354 patients who underwent lymphadenectomy for gynecological malignant tumors at the First Affiliated Hospital of Xinjiang Medical University from August 2020 to August 2023 were collected for retrospective analysis. Univariate and multivariate analysis were used to analyze the influencing factors of lymphatic leakage after lymphadenectomy for gynecological malignant tumors. Results Among 354 cases, 33 cases had postoperative lymphatic leakage, with an incidence of 9.32%. Univariate analysis showed that body mass index(BMI), extent of removed lymph nodes and number of removed lymph nodes were associated with postoperative lymph leakage(P < 0.05). There was no correlation with age, disease type, operative route, lymph node metastasis, and intraoperative blood loss(P > 0.05). Multivariate analysis showed that BMI and the number of removed lymph nodes were risk factors for lymph leakage after lymphadenectomy in gynecological malignant tumors(P < 0.05). Conclusion BMI and the number of removed lymph nodes are the influencing factors of lymph leakage after lymphadenectomy in gynecological malignant tumors, which should be paid attention in clinical practice.更多还原