【摘要】 目的分析宫颈浸润癌根治术中出血的影响因素,探讨预防和减少失血的方法。方法回顾性分析我科收治手术治疗的149例宫颈浸润癌患者根治术中失血量超过800ml的发生率,以及临床分期、手术方式、妇科合并症及术前辅助治疗对出血量的影响。结果术中平均出血量约(695±320)ml,超过800ml的发生率为38.26%。临床分期较高组和采用较高级别术式组术中大量失血的发生率较高。手术方式和合并严重盆腔粘连是宫颈癌根治术中大量出血的高危因素。结论正确的手术方式可避免无谓的失血,术中运用相应的手术操作步骤及技巧,可以有效地减少术中失血。更多还原

【Abstract】 Objective To discuss the factors of hemorrhage in radical hysterectomy for invasive cervical carcinoma and to explore its prevention and management.Methods The clinical staging,operation classification,consolidated disease and adjuvant treatment before operation,and their relationship with massive hemorrhage(≥800 ml)in radical operation of 149 patients with invasive cervical carcinoma,were analyzed retrospectively.Results Average blood loss was(695±320)ml,and massive hemorrhage(≥800 ml)occurred in 38.26% of 149 patients.The higher clinical staging and operation classification had marked influence in massive blood loss.Operation classification and severe pelvic accretion were high risk factors of hemorrhage in surgical procedure.Conclusion The correct operation method could avoid meaningless blood loss,and hemorrhage could be efficiently decreased by appropriate operative procedures and techniques.更多还原