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目的探讨根治性膀胱切除术后早期并发症及其总体危险因素。方法采集2010年1月—2014年10月113例在该院行膀胱癌根治术且病历资料完整的患者,并整理其相关临床病历资料,结合“手风琴”分级系统对患者术后早期并发症进行分级归类分析,运用二元Logistic回归分析法进行并发症危险因素的分析。结果 113例膀胱癌根治术后患者中共有53例(46.9%)患者出现78例次术后早期并发症,其中轻—中度并发症占75.6%,重度并发症占24.4%。不全性肠梗阻为最常见的术后并发症(13例次,16.7%)。常见的术后早期并发症类别为胃肠道相关、感染相关、切口相关。二元Logistic回归分析显示年龄、ASA分级、手术时长、术中输血量、糖尿病与膀胱癌根治术后早期并发症存在相关性。结论膀胱癌根治术后早期并发症的发生率高,胃肠道相关并发症最为常见,年龄、ASA分级、手术时长、术中输血量、糖尿病为膀胱癌根治术后早期并发症的危险因素。
Objective To investigate the early complications after radical cystectomy and its overall risk factors. Methods A total of 113 patients with bladder cancer who underwent radical mastectomy and complete medical records from January 2010 to October 2014 were collected and their clinical records were collected. Combined with “Accordion” classification system, patients with early complications Disease classification and analysis, the use of binary logistic regression analysis of risk factors for complications. Results A total of 78 patients with postoperative early complications were found in 53 cases (46.9%) of the 113 patients who underwent radical mastectomy. Among them, 75.6% had mild-moderate complications and 24.4% had severe complications. Ictalobiliary obstruction is the most common postoperative complication (13 cases, 16.7%). Common early postoperative complications are gastrointestinal tract-related, infection-related, and wound-related. Binary logistic regression analysis showed that age, ASA classification, duration of surgery, intraoperative blood transfusion, diabetes mellitus and early complications after radical operation of bladder cancer were correlated. Conclusion The incidence of early complications after radical operation of bladder cancer is high. The complications associated with gastrointestinal tract are most common. Age, ASA classification, duration of operation, intraoperative blood transfusion and diabetes mellitus are the risk factors of early complications after radical operation of bladder cancer.