膀胱癌根治术后肠梗阻危险因素分析
刘陈黎;周艳;廖锦先;李茂章;周晓波
【期刊名称】《国际泌尿系统杂志》 【年(卷),期】2019(039)003
【摘要】Objective To identify the risk factors of postoperative ileus after radical cystectomy.Methods In the retrospective study,103 patients who received radical cystectomy and urinary diversion from January 2010 to June 2017 were reviewed.All of these patients were divided into observation group or control group according to the ileus had happened or not.The correlation analysis of the clinical features and ileus was performed.Results Postoperative ileus occurred in 14 (13.6％) of all these patients.Comparing to the control group,the patients with ileus had a significant older age (71.13 years vs.67.78 years,P =0.043),higher rates of having the previous abdominal operation [42.9％ (6/14) vs.19.1％ (17/89),P =0.047],and more likely of having hypoalbuminemia (serum albumin level ＜ 35 g/L) [71.4％ (10/14)vs.30.3％ (27/89),P=0.003].There was no significant correlation between the postoperative ileus and the patients'gender,BMI (body mass index),pre-operative hemoglobin,blood loss,transfusion requirement,laparoscopic and open surgery,operation time,urinary diversion method,and postoperative serum electrolyte.On multivariate analysis,the results showed
that
age(OR
6.444,95
％
CI
1.012-41.037,P
膀胱癌根治术后肠梗阻危险因素分析
