国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
21期
3111-3113
,共3页
结直肠手术%吻合口瘘%吻合平面%肿瘤
結直腸手術%吻閤口瘺%吻閤平麵%腫瘤
결직장수술%문합구루%문합평면%종류
Colorectal surgery%Anastomotic leaks%Anastomotic planes%Tumors
目的 探讨结直肠手术后并发吻合口瘘的发生率及吻合口瘘发生的原因和影响因素.方法 对我院2005年1月至2011年12月收治的124例行结直肠手术的结肠癌患者的临床资料进行回顾性分析,并对患者按性别、年龄(60岁以上组和60岁以下组)、肿瘤分化类型、吻合方式、不同吻合平面进行统计分析.结果 本组患者发生吻合口瘘的有11例,发生率为8.9％.不同肿瘤分化程度患者术后吻合口瘘发生率差异无统计学意义(P＞0.05);不同性别、年龄患者与采用不同吻合方式及吻合平面的患者术后吻合口瘘发生率差异有统计学意义(P＜0.05).Logistic回归分析显示,性别、年龄、吻合方式及吻合平面与吻合口瘘相关(P＜0.05).结论 结直肠手术后吻合口瘘的发生与性别、年龄、吻合方式及吻合平面多个危险因素有关,不同吻合平面的手术吻合口瘘发生率不同,吻合平面越低,吻合口瘘发生率越高.
目的 探討結直腸手術後併髮吻閤口瘺的髮生率及吻閤口瘺髮生的原因和影響因素.方法 對我院2005年1月至2011年12月收治的124例行結直腸手術的結腸癌患者的臨床資料進行迴顧性分析,併對患者按性彆、年齡(60歲以上組和60歲以下組)、腫瘤分化類型、吻閤方式、不同吻閤平麵進行統計分析.結果 本組患者髮生吻閤口瘺的有11例,髮生率為8.9％.不同腫瘤分化程度患者術後吻閤口瘺髮生率差異無統計學意義(P＞0.05);不同性彆、年齡患者與採用不同吻閤方式及吻閤平麵的患者術後吻閤口瘺髮生率差異有統計學意義(P＜0.05).Logistic迴歸分析顯示,性彆、年齡、吻閤方式及吻閤平麵與吻閤口瘺相關(P＜0.05).結論 結直腸手術後吻閤口瘺的髮生與性彆、年齡、吻閤方式及吻閤平麵多箇危險因素有關,不同吻閤平麵的手術吻閤口瘺髮生率不同,吻閤平麵越低,吻閤口瘺髮生率越高.
목적 탐토결직장수술후병발문합구루적발생솔급문합구루발생적원인화영향인소.방법 대아원2005년1월지2011년12월수치적124례행결직장수술적결장암환자적림상자료진행회고성분석,병대환자안성별、년령(60세이상조화60세이하조)、종류분화류형、문합방식、불동문합평면진행통계분석.결과 본조환자발생문합구루적유11례,발생솔위8.9％.불동종류분화정도환자술후문합구루발생솔차이무통계학의의(P＞0.05);불동성별、년령환자여채용불동문합방식급문합평면적환자술후문합구루발생솔차이유통계학의의(P＜0.05).Logistic회귀분석현시,성별、년령、문합방식급문합평면여문합구루상관(P＜0.05).결론 결직장수술후문합구루적발생여성별、년령、문합방식급문합평면다개위험인소유관,불동문합평면적수술문합구루발생솔불동,문합평면월저,문합구루발생솔월고.
Objective To explore the incidence rate of anastomotic leaks due to colorectal surgery and the causes and influencing factors of this disorder.Methods The clinical data on 124 patients with colon cancer who had undergone colorectal surgery during the period of January 2005 and December 2011 were retrospectively analyzed.Sex,age(group of younger than 60 years and group of older than 60years),types of tumor differentiation,anastomotic patterns,and anastomotic planes were statistically analyzed.Results Anastomotic leaks occurred in 11 patients,with a rate of 8.9％.The incidence rate of anastomotic leaks did not differ significant among different degree of tumor differentiation(P＞0.05).There were statistical differences in the rate of anastomotic leaks among the groups of different sex,age,anastomotic patterns,and anastomotic planes(P＜0.05).Logistic regression analysis showed that sex,age,anastomotic patterns,and anastomotic planes associated with anastomosis leaks(P＜0.05).Conclusions The incidence rate of anastomotic leaks due to colorectal surgery is associated with multiple risk factors including sex,age,anastomotic patterns,and anastomotic planes.The incidence rate differs in different anastomotic planes;the lower the anastomotic planes,the higher the incidence of anastomotic leaks.
