| 孟永斌,陈红云,翟笑枫.原发性肝癌患者肝动脉化疗栓塞术后疼痛的影响因素分析[J].肿瘤学杂志,2013,19(9):722-725. |
| 原发性肝癌患者肝动脉化疗栓塞术后疼痛的影响因素分析 |
| Influencing Factors on the Postoperative Pain of Transcatheter Arterial Chemoembolization in Patients with Primary Liver Cancer |
| 投稿时间：2013-07-16 |
| DOI：10.11735/j.issn.1671-170X.2013.09.B013 |
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| 中文关键词: 肝肿瘤 肝动脉化疗栓塞 疼痛 Logistic回归 |
| 英文关键词:liver neoplasms transcatheter arterial chemoembolization(TACE) pain Logistic regression |
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| 中文摘要: |
| 摘 要： ［目的］ 探讨肝癌患者行经肝动脉化疗栓塞术（TACE）后疼痛的发生情况及影响因素。［方法］ 对行TACE患者临床基线资料和术后疼痛发生情况进行分析，运用单因素和多因素Logistic回归方法统计分析与TACE术后疼痛发生相关的因素。［结果］ 研究期间共115例有效病例，其中发生中重度疼痛46例，发生率40%，无疼痛及轻度疼痛69例，发生率60%。多因素Logistic回归提示，与TACE术后发生疼痛具有显著相关性的因素包括：术中使用明胶海绵（P<0.001）、肿瘤位置靠近肝包膜（2cm以内）（P=0.046）。［结论］ 肝癌患者行TACE术后发生疼痛与术中使用明胶海绵、病灶位置靠近肝脏包膜有着显著关系。 |
| 英文摘要: |
| Abstract：［Purpose］ To investigate the occurrence of postoperative pain of transcatheter arterial chemoembolization (TACE) in patients with primary liver cancer and its related factors. ［Methods］ Clinical baseline data and postoperative pain of TACE were investigated，and the influencing factors on postoperative pain of TACE were analyzed by univariate and multivariate Logistic regression.［Results］ During the study period a total of 115 cases were enrolled，with 46 cases of severe pain(40%)；69 cases of no pain or mild pain(60%). Multivariate Logistic regression showed that influencing factors on postoperative pain of TACE included intraoperative use of gelatin sponge (P<0.001)，tumor location near the liver capsule (2cm or less) (P=0.046).［Conclusion］ Intraoperative use of gelatin sponge，and lesion located near the liver capsule are significantly correlated to postoperative pain of TACE in patients with primary liver cancer. |
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