摘要
为分析结直肠癌患者术后发生吻合口漏的影响因素,选取我院2018年1月至2019年3月诊治的结直肠癌患者100例,建立全部患者资料数据库。根据结直肠癌术后是否发生吻合口漏将其分为观察组72例(发生吻合口漏)和对照组28例(未发生吻合口漏),观察2组患者术后发生吻合口漏单因素分析和Logistic多因素分析。结果显示,2组患者年龄、性别、高血压、高脂血症、贫血、低蛋白、预防性造口比较差异无统计学意义(P>0.05),2组患者肿瘤分期、吻合口方式、肠道准备、糖尿病比较差异有统计学意义(P <0.05)。肿瘤分期、吻合口方式、糖尿病是结直肠癌患者术后发生吻合口漏独立危险因素(P <0.05)。结果表明,结直肠癌患者术后发生吻合口漏危险因素有吻合口方式、肿瘤分期及糖尿病。术前临床应给予密切关注,预防吻合口漏的发生。
This study was to analyse the factors influencing stoma-leakage occurance after surgery for colorectal cancer,enrolled 100 cases treated in author’s hospital from Jan.2018 to March 2019 yr.into this study and established their database,according to with or without stoma-leakage occurance after surgery,divided the patients into observation group(72 cases,with stoma leakage)and control group(28 cases,without one);then took univariate analysis and Logistic multi-variate analysis on stoma-leakage occurance.As results,comparing patients’ age,gender,hypertension,hyperlipidemia,anemia,hypoproteinemia,and prophylactic neostomy there was no statistical difference between the two groups(P >0.05),but comparing both groups’ tumor staging,stoma-pattern,intestinal preparation,and diabetes mellitus(DM),on the contrary(P <0.05),thus the three factors except for intestinal preparation were of independent risk factors for stoma-leakage occurance(P <0.05).Results show that above-mentioned three independent factors are stoma-pattern,tumor staging and DM,therefore,before surgery it should be closely pay attention that clinically,so as to prevent stoma leakage occurance.
作者
王建永
WANG Jian-yong(The 6th People's Hospital of Anyang City,Henan 455000)
出处
《中国肛肠病杂志》
2020年第7期19-21,共3页
Chinese Journal of Coloproctology
关键词
结直肠癌
手术
吻合口漏
危险因素
Colorectal cancer
Surgery
Stoma leakage
Risk factor
