摘要
目的探讨腹腔镜辅助Dixon术治疗直肠癌患者术后发生吻合口瘘的影响因素。方法选取2013年3月—2016年3月我院收治的78例行腹腔镜辅助Dixon术治疗的直肠癌患者,分析患者术后并发吻合口瘘的影响因素。结果所选的78例直肠癌患者中均进行腹腔镜辅助Dixon术治疗,术后并发吻合口瘘的有16例患者。16例并发吻合口瘘患者中,BMI≥25 kg/m^2的发生率为46.17%,男性患者发生率为31.71%,与肛缘距离<8 cm的发生率为43.75%,年龄≥55岁的发生率30.00%,合并糖尿病患者的发生率为33.33%,上述指标均高于与其对应的指标,数据具有明显差异,差异均具有统计学意义(P<0.05)。多因素分析结果显示BMI、年龄、合并糖尿病、性别、与肛缘距离均是影响腹腔镜辅助Dixon术治疗直肠癌患者术后发生吻合口瘘的独立高危因素。结论 BMI≥25 kg/m^2、年龄、术前合并糖尿病、性别、与肛缘距离<8cm是腹腔镜辅助Dixon术治疗直肠癌患者术后发生吻合口瘘的影响因素。
Objective To investigate the related factors for anastomotic leakage after laparoscopy assisted Dixon ap-proach in the treatment of rectal cancer patients. Methods 78 rectal cancer patients were managed with laparoscopy - assis-ted Dixon surgery from March 2013 to March 2016 in our hospital. The influencing factors of anastomotic leakage were investi-gated. Results 16 patients contracted anastomotic leakage after operation. The rate of anastomotic leakage in the patients with BMI ≥25 kg/m^2 was 4 6. 17% ,31.71% in male and 43. 75% for a distance on condition of a distance from anal margin 〈 8 cm, 30% 55 among those at the age of 55 years or above and 33. 33% among those diabetic ones. The index was signifi-cantly higher than the corresponding index data （ P 〈0. 05）. Multivariate analysis showed that BMI, age, diabetes mellitus, gender and distance from the anal margin were independent risk factors for anastomotic leakage after laparoscopy - assisted Dixon approach for rectal cancer patients. Conclusion The risk factors of anastomotic leakage after resection of rectal cancer include BMI≥25 kg/m^2, old age, preoperative diabetes, sex and anal margin 〈8 cm.
出处
《现代医院》
2017年第7期1034-1036,共3页
Modern Hospitals
