结直肠癌根治术腰硬联合麻醉可行性研究

Study of Feasibility of Performing Redical Operation for Colon and Rectum Carcinoma Combined Spinal-epidural Analgesia

为探讨腰硬联合麻醉（CSEA）下结直肠癌根治术的可行性，回顾性分析31例结直肠癌根治术，其中静吸复合全麻组12例，CSEA组19例。两组患者平均住院时间分别为35．08d及27．63d，手术时间分别为163．75min及183．68min，手术失血量分别为235．83ml及268．42ml，术后排气时间分别为82．67h及82．74h，术后排便时间分别为114．17h及109．37h，肺部感染发生率分别为16．67％（2／12）及10．53％（2／19），切口感染发生率分别为16．67％（2／12）及15．79％（3／19），两组各指标差异均无统计学意义（P〉0．05）。结果表明，CSEA下结直肠癌根治术是安全而可行的。

The objective of this study was to explore the feasibility of redical operation for colorectal carcinoma. 31 patients submitted to colon and rectum carcinoma redical operation were retrospectively reviewed in our hospital from Dec. 2002 to Dec. 2005, general anesthesia was administered to 12 patients, CSEA to the other 19. The time of being in hospital of these two groups was 35.08 days and 27.63 days respectively,the time of operation was 163.75 rain and 183.68rain,the blood lost within operation was 235.83ml and 268.42ml, the exhausting time after operation was 82.67 hours and 82.74 hours, the defecating time after operation was 114. 17 hours and 109.37 hours,the infection rate of lung was 16.67%（2/12） and 10.53% （2/19）,the infection rate of incision was 16.67%（2/12） and 15. 79% （3/19）. There were no significant differences of these data between the two groups（ P 〉0.05）. The above-mentioned results show that the colorectal carcinoma redical operation using CSEA is safe and feasible.