摘要
目的观察宫颈癌根治术不同术式对术后泌尿系感染的影响。方法选取2001年3月-2011年3月医院施行宫颈癌根治术患者398例,根据手术方式的不同分为Ⅱ型手术组、Ⅲ型手术组;观察两组患者术后泌尿系感染及膀胱功能恢复情况。结果Ⅱ型手术组患者留置尿管时间<10d148例,Ⅱ型手术组患者发生泌尿系感染66例,Ⅲ型手术组患者发生泌尿系感染79例,Ⅲ型手术组患者发生泌尿系感染发生率较Ⅱ型手术组明显升高(χ2=23.16,P<0.01);Ⅱ型手术组患者膀胱功能恢复良好比率为69.1%,Ⅲ型手术组患者膀胱功能恢复良好率为50.3%,Ⅱ型手术组患者膀胱功能恢复良好率较Ⅲ型手术组患者高(χ2=14.19,P<0.01)。结论采用Ⅲ型手术患者术后留置导尿管的时间较Ⅱ型手术患者更长,发生泌尿系感染机会更多,且患者术后膀胱功能恢复情况较差。
OBJECTIVE To observe the influence of urinary tract infection of different operative methods for cervical cancer. METHODS A total of 98 patients with cervical cancer who had operation in our hospital during Mar 2001 to Mar 2011 ,and were selected, they were divided into Ⅱ type operation group, Ⅲ type operation group according to the different methods of operation. The urinary tract infection and bladder function recovery of the two groups were observed. RESULTS The patients of Ⅱ type operation group whose urinary catheter duration time more than 〈10 d were 148 cases; 66 cases of patients of Ⅱ type operation group occurred tract infection;79 cases of patients of Ⅲ type operation group occured tract infection; the rate of tract infection ofⅢ type operation group was higher than that of Ⅱ type operation group （X2 = 23.16,P〈0.01）. The rate of bladder function good of Ⅱ type operation group was 69.1%; the rate of bladder function good of Ⅱ type operation group was 50.3%; the rate of bladder function good of Ⅱ type operation group was higher than that of Ⅲ type operation group（X2=14.19,P〈0.01）. CONCLUSION The time of placing a urinary catheter of Ⅲ type operation group is longer than Ⅱ type operation group, and the chance of urinary tract infection is more, and the bladder function recovery situation is worse.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第21期4503-4505,共3页
Chinese Journal of Nosocomiology
关键词
宫颈癌根治术
导尿管
泌尿系
感染
Cervical cancer radical surgery
Urinary catheters
Urinary tract system
Infection
