摘要
目的 探讨经腹直肠癌切除术后吻合口狭窄的危险因素和防治方法.方法 回顾性分析本院2001～2013年收治的436例直肠癌患者的临床资料,将患者分为吻合口狭窄及无吻合口狭窄两组.采用x2检验,对各影响因素进行Logistic回归分析.结果 共发生吻合口狭窄25例,发生率为5.7％.多因素分析显示,男性、吻合口瘘、手工吻合、肿瘤下缘距肛缘距离＜7 cm、合并糖尿病为术后吻合口狭窄的独立危险因素（P＜0.05）.吻合口狭窄均在介入下球囊扩张保守治疗成功.结论 性别、吻合口瘘、手工吻合、肿瘤下缘距肛缘距离＜7 cm、合并糖尿病为直肠癌术后吻合口狭窄的危险因素;介入下球囊扩张治疗吻合口狭窄安全,有效.
Objective To explore risk factors,prevention and treatment of anastomotic stenosis after Dixon of rectal cancer. Methods Retrospective analyzed the clinical data of 436 patients with rectal cancer treated in our hospital from 2001-2013 ,they were divided into the anastomotic stenosis and no anastomotic stenosis. Used X2 test,logistic re- gression analysis of each influencing factor was made. Results A total of 25 cases of anastomotic stenosis happened, the rate was 5.7%. Multivariate analysis showed that,male,anastomotic fistula,manual anastomosis,the inferior margin of the tumor from the anal margin distance 〈7 cm,diabetes mellitus for postoperative anastomotic stenosis of independent risk factors （P〈0.05）.All interventional balloon expansion anastomotic stenosis under conservative treatment was suc- cessful. Conclusion Gender,anastomotic fistula,manual anastomosis,the inferior margin of the tumor from the anal margin distance 〈7 cm,combined with diabetes mellitus is risk factors for anastomotic stenosis after resection of rectal cancer,interventional balloon expansion under the treatment of anastomotic stenosis is safe and effective.
出处
《中国现代医生》
2014年第15期7-9,共3页
China Modern Doctor
关键词
直肠肿瘤
吻合口狭窄
危险因素
球囊扩张
Rectal cancer
Anastomotic stenosis
Risk factors
Balloon expansion
