结直肠癌合并糖尿病的围手术期处理

Perioperative Management of Colorectal Carcinoma Associated with Diabetes Mellitus

目的探讨结直肠癌合并糖尿病围手术期的处理原则。方法结合国内外文献,对外科治疗的42例合并2型糖尿病结直肠癌病例进行回顾性分析。结果42例患者均进行限期或急诊手术,术后并发症发生率:切口感染9.52%(4/42),泌尿系感染2.38%(1/42),吻合口瘘4.76%(2/42),无酮症酸中毒及死亡病例。结论良好的血糖控制,合适的术式选择,对于结直肠癌合并糖尿病患者安全渡过围手术期至关重要。

Objective To explore the principle of perioperative management of colorectal carcinoma associated with diabetes mellitus. Methods Forty-two patients with colorectal carcinoma associated with diabetes mellitus undergoing surgical operations were analyzed retrospectively in combination with domestic and overseas documentations. Results All the 42 patients were subjected to restrictive operations or emergency operations. The morbidity of postoperative complications was 9.52% for incisional infection, 2.38% for urethritis and 4.76% for anastomotic leak. There were no postoperative diabetic ketoacidosis and operative deaths. Conclusion It is very important for the patients with colorectal carcinoma associated with diabetes mellitus to pass perioperative period by well controlling the blood glucose concentration and reasonably selecting the method for surgical operations.