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直肠癌术后发生吻合口瘘的危险因素分析

Analysis on the risk factors of anastomotic leakage after rectal cancer operation
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摘要 目的:探讨直肠癌术后发生吻合口瘘的危险因素。方法:收治行直肠癌根治术患者120例,按照术后是否发生吻合口瘘分为发生组和未发生组,分析两组患者的年龄、性别、体重指数、并发症、肿瘤大小、肿瘤分期、手术方式、身体状况分布情况。结果:120例直肠癌患者术后发生吻合口瘘8例(6.67%)。高龄、男性、肥胖、合并高血压病和糖尿病、肿瘤体积大、传统开腹手术方式、肿瘤D期、身体状况不佳等都是直肠癌术后发生吻合口瘘独立危险因素。结论:针对独立危险因素早期预防,早发现早治疗,以降低直肠癌术后发生吻合口瘘的风险。 Objective:To investigate the risk factors of anastomotic leakage after operation for rectal cancer.Methods:120 patientswith rectal cancer operation were selected,and they were divided into the occurrence group and nonoccurrence group ofanastomotic leakage after operation,then we analyzed the distribution situation on age,sex, body mass index,complications,tumorsize,tumor stage,operation mode,and body condition.Results:Among all those of the 120 cases with rectal cancer,there were 8(6.67% ) cases occurecing anastomotic leakage.Old age,male,obesity,hypertension and diabetes,large tumor size,traditional opensurgery,tumor D phase,poor physical condition and so on were the independent risk factors of anastomotic leakage after operationof rectal cancer.Conclusion:Early detection and treatment on those independent risk factors can reduce the risk of anastomoticleakage after operation in patients with rectal cancer.
作者 李涛 Li Tao(The First Department of Surgery,the People's Hospital of Du'an County,Guangxi 530700)
出处 《中国社区医师》 2016年第7期38-39,共2页 Chinese Community Doctors
关键词 直肠癌 术后 吻合口瘘 危险因素 Rectal cancer Postoperative Anastomotic fistula Risk factor
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