摘要
目的分析宫颈癌患者术后下肢淋巴水肿发生情况及情绪状况。方法采用妇科癌症淋巴水肿问卷、医院焦虑/抑郁量表(HADS)对204例完成宫颈癌手术患者进行下肢继发性淋巴水肿和情绪问卷调查,并了解患者一般情况及疾病与治疗情况。结果宫颈癌患者术后下肢淋巴水肿发生率22.5%,严重程度以Ⅰ度为主占82.61%,手术联合放疗的患者下肢淋巴水肿的发生率较高,占30.6%,单纯手术治疗组发生率为10.2%,术中行淋巴结清扫的患者下肢淋巴水肿的发生率为28.6%,术中无淋巴清扫者为7.4%,两者比较差异具有统计学意义(P<0.05)。与无下肢水肿患者相比,下肢水肿患者焦虑、抑郁发生率较高,差异均具有统计学意义(P<0.05)。结论下肢淋巴水肿是宫颈癌患者治疗后的常见并发症之一,宫颈癌术后其发生率较高,不同治疗方式淋巴水肿发生率不同,且严重影响患者情绪及生活质量,应加强健康教育,并积极探寻有效的预防干预措施,降低宫颈癌术后下肢淋巴水肿的发生率。
Objective To analysis the incidence and mood disorders of lower limb lymphedema （LLL ） of cervical cancer patients after surgery .Methods A Total of 204 patients were enrolled by Gynecologic cancer lymphedema questionnaire（GCLQ） ,and the Hospital Anxiety depression amount （HADS） ,cervical cancer surgery patients with lower limb secondary lymphedema .Results The incidence of LEL was 22 .5% ,with the severity being mild （stage Ⅰ ） in 82 .61% of Patients , the incidence of LLL in patients with surgery combined with radiotherapy was highest （30 .6% ） ,the incidence of LLL in Patients who received simple surgery alone was 10.2% . the incidence of LLL in Patients who received lympadenectomy during surgery was 28 .6% ,and the incidence was 7.4% ,who did not received lympadenectomy . There were higher incidence of anxiety and depression in LLL . Conclusion LLL is one of common complication after cervical cancer treatment . Different incidence of lymphedema with different treatment methods .Provide appropriate education ,and explore effective prophylactic techniques to reduce the incidence of LLL .
出处
《国外医学（医学地理分册）》
CAS
2015年第3期222-223,242,共3页
Foreign Medical Sciences：Section of Medgeography
关键词
宫颈癌
淋巴水肿
焦虑
抑郁
cervical cancer
lymphedema
anxiety
depression
