摘要
目的探讨结直肠癌患者根治术后发生动力性肠梗阻的影响因素。方法选取2018年1月至2021年7月商丘市第三人民医院收治的根治术后发生动力性肠梗阻的50例结直肠癌患者,纳入发生组,另选取同期商丘市第三人民医院收治的根治术后未发生动力性肠梗阻的50例结直肠癌患者,纳入未发生组。收集两组患者临床资料,采用多因素logistic回归分析检验结直肠癌患者根治术发生动力性肠梗阻的影响因素。结果发生组与未发生组TNM分期、腹部手术史、术前肠梗阻、术前贫血、淋巴结转移比较,差异有统计学意义(P<0.05);多因素logistic回归模型结果显示,TNM分期为Ⅲ期、腹部手术史、术前肠梗阻、术前贫血、淋巴结转移是结直肠癌患者根治术后发生动力性肠梗阻的影响因素(P<0.05)。结论结直肠癌患者TNM分期、腹部手术史、术前肠梗阻、术前贫血、淋巴结转移等因素均可能导致其根治术后发生动力性肠梗阻,临床应重视上述风险因素,早期评估及干预,以降低动力性肠梗阻发生风险。
Objective To investigate the influencing factors of dynamic intestinal obstruction after radical resection in patients with colorectal cancer.Methods A total of 50 patients with colorectal cancer who had dynamic intestinal obstruction after radical resection treated in Shangqiu Third People’s Hospital from January 2018 to July 2021 were selected and included in occurrence group.In addition,50 patients with colorectal cancer who did not have dynamic intestinal obstruction after radical resection treated in Shangqiu Third People’s Hospital during the same period were selected and included in non occurrence group.The clinical data of patients in the two groups were collected,and multivariate logistic regression analysis was used to test the influencing factors of dynamic intestinal obstruction in patients with colorectal cancer after radical resection.Results There were statistical differences in TNM stage,abdominal operation history,preoperative intestinal obstruction,preoperative anemia and lymph node metastasis between occurrence group and non occurrence group(P<0.05).The results of multivariate logistic regression model showed that TNM stageⅢ,abdominal operation history,preoperative intestinal obstruction,preoperative anemia and lymph node metastasis were the influencing factors of dynamic intestinal obstruction after radical resection in patients with colorectal cancer(P<0.05).Conclusion TNM stage,abdominal operation history,preoperative intestinal obstruction,preoperative anemia and lymph node metastasis in patients with colorectal cancer may lead to dynamic intestinal obstruction after radical resection.The above risk factors should be paid attention to clinically,and early assessment and intervention should be taken to reduce the risk of dynamic intestinal obstruction.
作者
范现政
FAN Xianzheng(Department of Surgery,Shangqiu Third People’s Hospital,Shangqiu 476000,China)
出处
《河南医学研究》
CAS
2021年第28期5269-5272,共4页
Henan Medical Research
关键词
结直肠癌
根治术
动力性肠梗阻
TNM分期
贫血
淋巴结转移
colorectal cancer
radical resection
dynamic intestinal obstruction
TNM stage
anemia
lymph node metastasis
