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目的:探讨改良Clavien并发症严重程度分级系统在膀胱癌根治术早期并发症中的应用。方法:比较分析泌尿外科2013年10月~2016年10月间104例进行过膀胱癌根治术的膀胱癌患者的临床资料,并依据改良Clavien分级系统将上述患者术后早期并发症进行分级评估。结果:共有17例患者在手术后发生早期并发症,其中9例患者为1级并发症,4例患者为2级并发症,2例患者为3级并发症,1例患者为4级并发症,1例患者为5级并发症。膀胱癌根治术后早期并发症发生率高于以往报道,影响术后早期并发症发生的危险因子包括美国医师协会麻醉(ASA)分级以及合并基础疾病;影响高等级术后早期并发症的危险因子包括患者总住院时间较长、术前低白蛋白血症以及存在术中输血情况。结论:ASA分级以及合并基础疾病影响术后早期并发症发生,患者总住院时间较长、术前低白蛋白血症以及存在术中输血情况影响高等级术后早期并发症。
Objective: To investigate the application of modified Clavien’s grading system to the early complications of radical resection of bladder cancer. Methods: The clinical data of 104 patients with bladder cancer who underwent radical mastectomy for bladder cancer from October 2013 to October 2016 in Urology were comparatively analyzed. The patients’ postoperative complications were classified according to the modified Clavien classification system. Results: A total of 17 patients experienced early complications after surgery. Among them, 9 patients had grade 1 complication, 4 patients had grade 2 complication, 2 patients had grade 3 complication, and 1 patient had grade 4 complication , One patient was grade 5 complication. The incidence of early complications after radical mastectomy for bladder cancer is higher than previously reported, and the risk factors affecting early postoperative complications include ASA classification and underlying diseases; risk factors affecting early postoperative complications Including patients with longer total hospital stay, preoperative hypoalbuminemia and the presence of intraoperative blood transfusion. CONCLUSIONS: ASA classification and underlying diseases affect early postoperative complications, patients with longer total length of stay, preoperative hypoalbuminemia and intraoperative blood transfusion affect high-grade postoperative early complications.