%0 Journal Article
%T 宫颈癌根治术后并发肠梗阻的危险因素分析
%A 刘莹
%A 张红平
%A 杨宏英
%A 桂艳丽
%J 肿瘤防治研究
%D 2018
%R 10.3971/j.issn.1000-8578.2018.17.1291
%X 摘要 目的 探讨宫颈癌根治术后发生肠梗阻的危险因素。方法 回顾性分析2012年6月—2017年6月149例宫颈癌根治术后并发肠梗阻患者的临床资料，与同期行该手术但未发生肠梗阻的2 436例患者资料进行对比，分析并发肠梗阻的危险因素。 结果 肠梗阻的发生与患者的年龄、手术时间、术后血钾水平、术后禁食时间、术前盆腹腔手术史、BMI、手术入径、术后感染、术后伴发腹腔积液有关（P<0.05）。其中盆腹腔手术史、术后禁食时间长、术后血钾水平低、手术消耗时间长是独立危险因素。而在手术出血量、术后患者血红蛋白水平、术中是否输血方面两组差异无统计学意义（P>0.05）。结论 缩短手术时间、鼓励患者术后尽早进食，维持术后血钾水平是预防宫颈癌术后发生肠梗阻的有效措施
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%U http://www.zlfzyj.com/CN/abstract/abstract9173.shtml