直肠低位前切除术后吻合口瘘的相关因素分析

Analysis for the related factors of anastomotic leakage in rectal low anterior resection

目的探讨行预防性横结肠造瘘与否及性别对直肠低位前切除术(LAR)后吻合口瘘(AL)发生率的影响。方法对行直肠LAR的202例中下段直肠癌手术患者的临床资料进行分析,研究行预防性横结肠造瘘与否和性别对直肠LAR后AL发生率的影响。结果造瘘组AL的发生率与未造瘘组比较,差异无统计学意义(P>0.05);未行预防性横结肠造瘘的直肠LAR后女性AL的发生率(5.3%)与男性比较差异无统计学意义(P>0.05)。结论行预防性横结肠造瘘并不能有效地降低直肠LAR后AL的发生率;在直肠LAR后AL的发生方面,性别并不是决定性的因素。

Objective To observe the effect of preventive transverse colostomy and gender on the occurrence of anastomotic leakage（AL）of rectal low anterior resection（LAR）.Methods The clinical data of 202 cases of middle and lower rectal cancer were retrospectively analyzed in our department,in which rectal LAR had been conducted by using Chi-Square Tests to analyze the impact of preventive transverse colostomy and gender on the incidence of AL following rectal LAR.Results There was no significant difference in the incidence of AL between colostomy group and non-colostomy group（P〉0.05）;there was no significant difference in the incidence of AL without preventive transverse colostomy between females ansd males（P〉0.05）.Conclusion Preventive transverse colostomy can not effectively reduce the incidence of AL following rectal LAR,and gender is not the decisive factor in the occurrence of AL following rectal LAR.