【摘要】 目的 :探讨宫颈癌术后近期并发症及其发生率 ,降低并发症的方法。方法 :414例宫颈癌手术病人进行了回顾性分析。临床分期 ,Ⅰa2 5例 ,Ib10 5例 ,Ⅱa2 0 5例 ,Ⅱb39例 ,放疗后未控或中心复发 2 0例 ;病理诊断宫颈鳞癌393例 (94.93 % ) ,其他类型约 5 % ;少数病例作了术前或术后放疗 ;手术方式包括 :Ⅰ类手术 (筋膜外全宫手术 ) 8例 ,Ⅱ类手术 (次广泛子宫切除术 ) 10例 ,Ⅲ类手术 (次广泛子宫切除 +盆腔淋巴结切除术 ) 110例 ,Ⅳ类手术 (广泛子宫切除 +盆腔淋巴结切除 ) 2 86例。结果 :术后常见的近期并发症为泌尿系统并发症 ,包括泌尿道感染发生率 2 6 .0 9% ,尿潴留发生率 2 4.4% ,术后尿瘘发生率 2 .6 6 %。其他少见的并发症包括术后腹部伤口感染 (1.2 % ) ,肺部感染 (0 .48% ) ,盆腔感染 (0 .48% )和手术相关的死亡 (0 .2 4% )等。结论 :本组病例术后并发症发生率与文献报道一致 ,改进手术方式可以降低术后泌尿道感染和尿瘘发生率更多还原

【Abstract】 Abstract: To investigate the morbidity and cause of post operative complications for cervical carcinoma. Methods: 414 patients were analysed retrospectively. Patients age was 25～68 years old. FIGO staging, Ⅰa 25, Ⅰb 105, Ⅱa 205, Ⅱb 39, uncontrolling after radiation or relapsing 20 patients. Cervical squamous carcinoma was 393 patients(94.93%), others 5%.Some patients were received radiation therapy before or after operation. The methods of operation include: Class Ⅰ, 8 cases; Class Ⅱ, 10 cases; Class Ⅲ,110 cases; Class Ⅳ,286 cases. Results: The common complications were in urinary system, including 26.09% of infection, 24.4% urine retention and 2.66% fistula. And the other complications include incision infection, lung infection, pelvic infection and death related with operation. Conclusion: The morbidity of post operative complications is similar to other reports and some surgical modifying could decrease the morbidity.更多还原