摘要
目的探讨影响永久性乙状结肠造口并发症因素并进行多因素分析。方法回顾性分析了1997年1月～2004年12月在本院行腹会阴联合切除永久性乙状结肠造口的患者,以Wilcoxon秩和检验进行单因素分析,Spearman质相关检验分析造口并发症与各个变量间关系,Logistic回归进行多因素分析。结果106例行永久性乙状结肠造口患者,46例(43.4%)患者术后发生造口并发症,其中造口旁疝42例,造口周围炎40例,造口脱垂10例,造口狭窄8例,造口回缩8例。结论多因素分析显示总并发症的发生与年龄、是否腹膜外造口、体重增加和是否得到ET指导有明显关系。腹膜外造口并发症较少,术前造口定位和手术后ET的指导可以降低造口并发症发生。
Objective：To investigate the peristomial complications of the sigmoid-end ostomy and do a multivariate analysis of the factors associated with the stoma. Methods： 106 patients with rectal cancer who had been performed abdominal perineal resection （APR） from 1997 to 2004 were followed up retrospectively. Factor associated with the peristomial complication were analysed by Wilcoxon, Spearman correlation and Logistic regression. Results：Forty-six （43.4%） out of 106 cases with sigmoid stoma had peristomial complications. Forty-two patients had stomal hernia. Forty had skin inflammation. Ten had stomal prolapse. Eight had stomal retract and 8 had stomal stenosis. Conclusion：The multivariate analysis shows that peristomial complications are associated with the age, extraperitoneal stoma, body weight increase and the ET care. The extraperitoneal stoma characterizes few complications and ET can help surgeon to decrease the peristomial complications.
出处
《临床肿瘤学杂志》
CAS
2005年第5期518-520,523,共4页
Chinese Clinical Oncology
关键词
乙状结肠造口
造口并发症
多因素分析
Sigmoid stoma
Peristomial complication
Multivariate analysis
