摘要
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。
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.
出处
《中国医药指南》
2014年第20期38-39,共2页
Guide of China Medicine
关键词
结直肠癌
吻合口瘘
Colorectal cancer
Anastomotic leakage
