中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2014年
20期
38-39
,共2页
结直肠癌%吻合口瘘
結直腸癌%吻閤口瘺
결직장암%문합구루
Colorectal cancer%Anastomotic leakage
目的：探讨结直肠癌患者术后发生吻合口瘘的临床因素与防治。方法对我院2002年7月至2014年4月275例未行造瘘的结直肠癌患者的临床资料进行回顾性分析。分析吻合口瘘的临床特点探讨其防治措施。结果本组275例术后共25例发生吻合口瘘，本组吻合口瘘的发生与患者TNM分期，肿瘤的分化程度，合并肠梗阻、糖尿病、低蛋白血症及是否急诊手术等因素有关。结论患者TNM分期，肿瘤的分化程度，合并肠梗阻、糖尿病、低蛋白血症及是否急诊手术是术后发生吻合口瘘的主要临床因素，重视患者各临床因素并积极治疗基础疾病对吻合口瘘的防治具有重要意义。
目的：探討結直腸癌患者術後髮生吻閤口瘺的臨床因素與防治。方法對我院2002年7月至2014年4月275例未行造瘺的結直腸癌患者的臨床資料進行迴顧性分析。分析吻閤口瘺的臨床特點探討其防治措施。結果本組275例術後共25例髮生吻閤口瘺，本組吻閤口瘺的髮生與患者TNM分期，腫瘤的分化程度，閤併腸梗阻、糖尿病、低蛋白血癥及是否急診手術等因素有關。結論患者TNM分期，腫瘤的分化程度，閤併腸梗阻、糖尿病、低蛋白血癥及是否急診手術是術後髮生吻閤口瘺的主要臨床因素，重視患者各臨床因素併積極治療基礎疾病對吻閤口瘺的防治具有重要意義。
목적：탐토결직장암환자술후발생문합구루적림상인소여방치。방법대아원2002년7월지2014년4월275례미행조루적결직장암환자적림상자료진행회고성분석。분석문합구루적림상특점탐토기방치조시。결과본조275례술후공25례발생문합구루，본조문합구루적발생여환자TNM분기，종류적분화정도，합병장경조、당뇨병、저단백혈증급시부급진수술등인소유관。결론환자TNM분기，종류적분화정도，합병장경조、당뇨병、저단백혈증급시부급진수술시술후발생문합구루적주요림상인소，중시환자각림상인소병적겁치료기출질병대문합구루적방치구유중요의의。
ObjectiveTo investigate the clinical factors of postoperative anastomotic leakage for colorectal cancer and explore the cure and prevention ways.MethodsThe clinical data of 275 cases of colorectal cancer operation without colostomy in department of general surgery from July 2002 to April 2014 were analyzed retrospectively.ResultThere were 25 cases in all 275 cases that occur postoperative anastomotic leakage. The TNM stage, tumorous cell differentiation level, afifliated bowel obstruction and diabetes, hypoproteinemia were highly related with anastomotic leakage.ConclusionThe TNM stage, tumorous cell differentiation level, afifliated bowel obstruction and diabetes, hypoproteinemia were the main risk factors of postoperative anastomotic leakage for colorectal cancer, pay attention to the clinical factors in patients is important for prevention and treatment of postoperative anastomotic leakage for colorectal cancer.
