期刊文献+

根治性膀胱切除术后早期并发症及危险因素分析 被引量:10

Risk factors for common early stage complications following radical cystectomy
下载PDF
导出
摘要 目的:探讨根治性膀胱切除术(RC)后早期并发症(术后90 d内)及其相关的危险因素。方法:收集我院泌尿外科2013年1月至2016年1月期间共185例因膀胱癌行根治性膀胱切除术(RC)的临床资料,术后90天内对患者随访,并应用χ~2检验和Logistic回归分析术后常见早期并发症的危险因素。结果:术后90天内185位患者中有74位(40.0%)出现了不同的早期并发症,常见并发症依次为肠梗阻、泌尿系感染、切口方面并发症。在回归分析中发现年龄(≥65岁)、肥胖(BMI≥25 kg/m^2)、术中输血、手术方式、手术时间、糖尿病是发生RC术后早期并发症的危险因素。结论:根治性膀胱切除术术后早期并发症发生率较高,其中肠梗阻、泌尿系感染、切口方面并发症较常见,正确的围手术期处理及充足的术前准备是降低膀胱癌根治术术后早期并发症的关键。 Objective:To investigate the risk factors of early postoperative complications (90 days) after radical cystectomy (RC). Methods:We collected clinical data of 185 patients who had undergone radical cystectomy (RC) due to bladder cancer in the urology department of our hospital from January 2013 to January 2016 ,we followed - up them 90 days after operation, and analysis the associated specific risk factors of early - term complications by using the single factor x2test and the Logistics regression analysis. Results:Among 185 cases of bladder cancer patients that had received radical operation,74 patients (40.0%) had different early complications in the 90 days after surgery. The common complications were intestinal obstruction, urinary tract infection and incision complications. From the re- gression analysis we find that the age ( 〉65 years old), obesity (BMI 〉25 kg/m2) ,intraoperative blood transfusion,operative method,operative time,diabetes is the risk factors of early complications after radical cysteetomy. Conclu- sion : The incidence of early postoperative complications after radical eystectomy was higher, the intestinal obstruction, urinary tract infection,incision complications are more common. And correct perioperative management and adequate preoperative preparation are the key to reduce the early complications after radical operation of bladder cancer.
作者 李鹏 李庆文
出处 《现代肿瘤医学》 CAS 2017年第21期3479-3482,共4页 Journal of Modern Oncology
关键词 膀胱癌 早期并发症 危险因素 bladder cancer, early complications, risk factor
  • 相关文献

参考文献2

二级参考文献15

  • 1DALBAGNI G,GENEGA E,HASHIBEN,et al.Cystectomy for bladder cancer: a contemporary series[J].J Urol,2001,165(4):1111-1116.
  • 2JULIEN GUILLOTREAU,XAVIER GAME.Radical cystectomy for bladder cancer: morbidity of laparoscopic versus open surgery[J].J Urol,2009,181:554- 559.
  • 3OMAR M.ABOUMARZOUK,TOMASZ DREWA,et al.Laparoscopic versus open radical cystectomy for muscle invasive bladder cancer: a single institute comparative analysis[J].Urol Int,2013,10:1159.
  • 4SANCHEZ DE BE,GALLEGO PJL,RECHE RA,et al.Laparoscopic cystectomy and ideal conduit:case report[J].J Endourol,1995,9:59- 62.
  • 5TARGARONA EM,BALAGUE C,KNOOK MM,et al.Laparoscopic surgery and surgical infection [J].Br J Surg,2000,87(5): 536- 544.
  • 6KULKAMI JN,PRAMESH CS,RATHI S,et al.Long.term results of orthotopic neobladder reconstruction after radical cystectomy[J].BJU Int,2003,91:485- 488.
  • 7GERULLIS H,KUEMMEL C,POPKEN G.Laparoscopic cystectomy with extracorporeal assisted urinary diversion: experience with 34 patients[J].Eur Urol,2007,51:193 -198.
  • 8STEPHENSON AJ,SCARDINO PT,EASTHAM JA,et al.Postoperative nomogram predicting the 10 year probability of prostate cancer recurrence after radical prostatectomy[J].J Clin Oncol,2005,23: 7005- 7012.
  • 9DERSIMONIAN R,LAIRD N.Meta analysis in clinical trials[J].Control Clin Trials,1986,7:177 -188.
  • 10黄健,黄海,林天歆,许可慰,张彩霞,郭正辉,江春,尹心宝,韩金利,姚友生,谢文练.膀胱根治性切除-原位回肠新膀胱术的腹腔镜与开放手术疗效比较[J].中华外科杂志,2008,46(24):1870-1874. 被引量:22

共引文献35

同被引文献104

引证文献10

二级引证文献30

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部