摘要
目的:分析腹腔镜直肠癌根治术后吻合口漏的危险因素。方法:回顾性分析中日友好医院2009年1月～2012年6月间115例腹腔镜直肠癌根治术患者的临床资料,以手术后是否发生吻合口漏为因变量,对患者临床资料进行单因素及多因素非条件Logistic回归分析。结果:本组患者吻合口漏的发生率为5.2%(6/115),回归分析显示吻合口平面距肛缘≤5cm、体重指数≥25kg/m2、手术时间≥270min是吻合口漏发生的独立危险因素,相对危险度分别为10.909、7.911、8.553。结论:吻合口平面距肛门≤5cm、体重指数≥25kg/m2、手术时间≥270min的患者易发生吻合口漏。
Objective：To study the risk factors for anastomotic leakage （AL）after laparoscopic radical resection of rectal cancer （Dixon）.Methods：The clinical data of 115 cases undergoing laparoscopic rectal resection in the hospital from January 2009 to June 2012 were reviewed retrospectively.Results：The incidence of AL was 5.2%（6/l15）.Univariate analysis and multivariate logistic analysis regression revealed anastomotic level （AV）≤ 5era,body mass index（BMI） ≥25kg/m2,surgical time≥270min were the independent risk factors for anastomotic leakage after laparoscopic radical resection of rectal cancer （Dixon） （OR=10.909,7.911,8.553）.Conclusion： AV ≤5cm, BMI≥25kg/m2,surgical time ≥ 270min can increase the incidence of AL
出处
《中日友好医院学报》
2012年第5期265-267,271,共4页
Journal of China-Japan Friendship Hospital
关键词
腹腔镜直肠癌根治术
吻合口漏
危险因素
Iaparoscopic radical resection of rectal cancer
anastomotic leakage
risk factors
