Prevention of postoperative lymphedema in gynecological malignancies
妇科恶性肿瘤术后淋巴水肿的预防

摘要

目的 探究妇科恶性肿瘤术后淋巴水肿的预防方法及意义。方法 选择 2020 年 9 月-2022 年 12 月在我科住院治疗行广泛子宫切除+腹股沟或盆腔淋巴清扫术的妇科恶性肿瘤患者100例，按 1：1 比例随机分为 2 组，每组 50 例展开研究。对照组行传统护理模式、干预组行一体化精准管理工作模式。采取妇科肿瘤淋巴水肿问卷、下肢淋巴水肿自感症状评估问卷判断患者术后淋巴水肿的发生率；判断两组双下肢周径及髋关节活动度；采取SF-36 生活质量调查表评估患者生活质量。结果 干预组轻度淋巴水肿率偏高，中重度淋巴水肿率偏低。髋关节活动优良率偏高。干预组下肢淋巴水肿自感症状评估、GCLQ指数偏低，SF-36指数偏高。（P<0.05）。结论 一体化精准管理工作模式可有效预防妇科恶性肿瘤术后淋巴水肿，值得推广。

Abstract

Objective To explore the prevention method and significance of postoperative lymphedema in gynecological malignancies.
Methods 100 patients with gynecological malignancy who underwent extensive hysterectomy + groin or pelvic lymphatic dissection in our department from September 2020 to December 2,2022 were randomly divided into two groups in a 1:1 ratio, with 50 patients per group. The traditional nursing mode of the control group and the intervention group. The gynecological tumor lymphoedema questionnaire and lower limb lymphoedema self-infection symptom assessment questionnaire were used to determine the incidence of postoperative lymphedema; the peripheral diameter and range of hip joint in both groups; and the SF-36 quality of life questionnaire was used to evaluate the quality of life.
Results The rate of mild lymphedema was high and low in the intervention group. The hip activity is high. Evaluation, GCLQ index and SF-36 index were high in the intervention group (P<0.05).
Conclusion   The integrated precision management mode can effectively prevent postoperative lymphedema of gynecological malignant tumors, which is worth promoting.