CAJ | 학술논문

目的:探讨结直肠癌术后早期炎性肠梗阻的发生及预防策略.方法:回顾性分析120例结直肠癌术后早期炎性肠梗阻患者的临床资料,对其发生的相关危险素进行单素及多素分析.结果:早期炎性肠梗阻与年龄(P=0.023)、手术方式(P=0.008)、腹部手术史(P=0.002)、肠道准备情况(P<0.001)、术中防粘连剂使用(P=0.006)、手术时间(P=0.042)有关;开腹手术(P=0.024)、有腹部手术史(P=0.034)及术前未行肠道准备(P=0.006)是结直肠癌术后早期炎性肠梗阻发生的独立危险素.结论:开腹手术、有腹部手术史及术前未行肠道准备是结直肠癌术后早期炎性肠梗阻发病的独立危险素.
목적:탐토결직장암술후조기염성장경조적발생급예방책략.방법:회고성분석120례결직장암술후조기염성장경조환자적림상자료,대기발생적상관위험소진행단소급다소분석.결과:조기염성장경조여년령(P=0.023)、수술방식(P=0.008)、복부수술사(P=0.002)、장도준비정황(P<0.001)、술중방점련제사용(P=0.006)、수술시간(P=0.042)유관;개복수술(P=0.024)、유복부수술사(P=0.034)급술전미행장도준비(P=0.006)시결직장암술후조기염성장경조발생적독립위험소.결론:개복수술、유복부수술사급술전미행장도준비시결직장암술후조기염성장경조발병적독립위험소.
Objective To investigate the causes and prevention of early postoperative inflammatory ileus (EPII) after radical resection of colorectal carcinoma. Methods Clinical data of 120 cases of EPII treated from June 2005 to June 2011 were analyzed retrospectively,the related risk factors of EPII were analyzed by uni?variate analysis and multivariate analysis. Results Univariate analysis revealed correlations between EPII and various factors ranging from patient age(P=0.023),type of surgery(P=0.008),history of abdominal surgery(P=0.002),preoperative intestinal preparation(P<0.001),use of anti-adhesion agent(P=0.006)and operation time(P=0.042). Open surgery(P=0.024),history of abdominal surgery(P=0.034),and without colon preparation for surgery(P=0.006)were found to be independent risk factors of EPII after radical resection of colorectal car?cinoma. Conclusion Open surgery,history of abdominal surgery,and no preparation of colon for surgery were found to be independent risk factors of EPII after radical resection of colorectal carcinoma.