大肠癌合并糖尿病的外科治疗

Surgical Treatment of Large Bowel Cancer with Diabetes Mellitus

目的 探讨大肠癌合并糖尿病病人的外科治疗措施。方法 1993年 2月～ 1998年 8月 ,外科治疗的 43例大肠癌伴糖尿病病人作回顾性分析。结果 43例均行择期手术 ,术后并发症发生率 :吻合口瘘占 9 3 % (4 /4 3 ) ,切口感染 2 5 6% (11/4 3 ) ,腹腔感染7 0 % (3 /4 3 ) ,骶前间隙积脓 4 7% (2 /4 3 ) ,泌尿系感染 2 3 % (1/4 3 )。术后平均住院 2 2天 ,无围手术期死亡病例。结论 大肠癌合并糖尿病病人只要围手术期严格控制血糖 ,选择合理的手术方式 。

Objective To explore the methods of surgical treatment on large bowel cancer with diabetes mellitus.Methods From 1993 to 1998,43 patients with large bowel cancer with diabetes mellitus underwent operations in our hospital. They were analyzed retrospectively.Results 43 cases all underwent elective operations. The morbidity of postoperative complications was as follows: anastomic leak accounted for 9.3%, wound infection for 27.9%, intra abdominal abscess for 7.0%,presacral space abscess for 4.7% and urinary tract infection for 2.3%. There were no postoperative diabetic ketoacidosis and operative death. The time of hospitalization of the patients after operation were 22 days on an average. Conclusions If the patient's blood glucose and urine glucose concentration in perioperative period could be well controlled, the method of selected surgical treatment on large bowel cancer with diabetes mellitus will be well gratified.