摘要
目的探讨低位直肠癌保肛根治术后并发吻合口漏的相关因素。方法回顾性分析128例低位直肠癌保肛根治术后患者的临床资料。结果128例患者中吻合口漏的发生率为10．9％（14／128）；男性、年龄≥65岁、肿瘤下端距肛缘〈7cm、Dukes分期（C＋D）期、合并肠梗阻、糖尿病和低蛋白血症患者易发生吻合口漏，与女性、年龄〈65岁、肿瘤下端距肛缘≥7cm、Dukes分期（A＋B）期、无肠梗阻、无糖尿病、无低蛋白血症等比较，差异均有统计学意义（均P〈0．05）。结论低位直肠癌保肛根治术后并发吻合口漏与患者自身因素、肿瘤本身及合并疾病等相关。
Objective To investigate correlation factor of anastomotic leakage after anus-preserving operation for low rectal cancer. Methods Clinical data of 128 cases in recent 3 years of low rectal cancer after anus-preserving operation were retrospectively analyzed. Results The incidence rate of anastomotic leakage in the group were 10.9% （14/128）. The patients of male,were age of ≥ 65 years old and 〈7cm of the anal margin from lower tumor,dukes the later stages, complicated by obstruction, diabetes, and hypoalbuminemia. The take place easily anastomotic leakages in the patients which were （ all P 〈 0. 05 ）. Conclusion The rate of anastomotic leakage after anus-preserving operation for low rectal cancer is related to personal factors, tumor factors and complicating diseases, etc.
出处
《中国基层医药》
CAS
2010年第8期1035-1036,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
直肠肿瘤
消化系统外科手术
Rectal neoplasms
Digestive system surgical procedures
