摘要
目的探讨结肠癌根治术后发生腹腔感染的影响因素。方法选取20例结肠癌根治术后腹腔感染患者作为感染组,按照1∶3的比例选取60例结肠癌根治术后未发生腹腔感染的患者作为未感染组。分析结肠癌根治术后发生腹腔感染的影响因素。结果单因素分析结果显示,糖尿病情况、贫血情况、术后吻合口漏发生情况、手术时间及中性粒细胞与淋巴细胞比值(NLR)、C反应蛋白(CRP)、降钙素原(PCT)水平均可能是结肠癌根治术后发生腹腔感染的影响因素(P﹤0.05)。多因素Logistic回归分析结果显示,糖尿病、贫血、术后发生吻合口漏、手术时间长及NLR、CRP、PCT水平高均是结肠癌根治术后发生腹腔感染的危险因素(P﹤0.05)。结论糖尿病、贫血、术后发生吻合口漏、手术时间长及NLR、CRP、PCT水平高均是结肠癌根治术后发生腹腔感染的危险因素,可根据这些因素提前采取干预措施。
Objective To explore the influencing factors of abdominal infection after radical resection of colon cancer(CC).Method A total of 20 patients with abdominal infection after radical resection of CC were selected as the infection group,and 60 patients without abdominal infection after radical resection of CC were selected as the non-infection group according to the ratio of 1∶3.The influencing factors of abdominal infection after radical resection of CC were analyzed.Result Univariate analysis indicated that diabetes mellitus,anemia,postoperative anastomotic leakage,surgical time,neutrophil to lymphocyte ratio(NLR),C-reactive protein(CRP)and procalcitonin(PCT)levels might be the influencing factors of abdominal infection after radical resection of CC(P<0.05).Multivariate Logistic regression analysis result showed that diabetes mellitus,anemia,postoperative anastomotic leakage,long surgical time,and high levels of NLR,CRP and PCT were risk factors for abdominal infection after radical resection of CC(P<0.05).Conclusion Diabetes mellitus,anemia,postoperative anastomotic leakage,long surgical time and high levels of NLR,CRP and PCT are risk factors of abdominal infection after radical resection of CC,and intervention measures can be taken in advance according to these factors.
作者
付超
陆彪
胡伦正
FU Chao;LU Biao;HU Lunzheng(Department of General Surgery,Development Zone Branch of Jiujiang No.1 People’s Hospital,Jiujiang 332000,Jiangxi,China)
出处
《癌症进展》
2025年第13期1510-1512,1516,共4页
Oncology Progress
关键词
结肠癌根治术
腹腔感染
糖尿病
手术时间
吻合口漏
radical resection of colon cancer
abdominal infection
diabetes mellitus
surgical time
anastomotic leakage
