直肠癌术后并发症及的影响因素分析.docVIP

直肠癌术后并发症及的影响因素分析 　　[摘要] 目的 探讨直肠癌术后临床并发症情况及其影响因素。 方法 选取2010年1月～2015年3月我院收治的28例直肠癌手术患者为研究对象进行分析，探讨患者的临床症状、手术方法、相关并发症以及术后病理结果等。结果 28例直肠癌患者中，术后发生并发症17例（60.71%），并发症分别为造口并发症4例、吻合口瘘5例以及切口感染8例，无1例死亡。导致患者术后并发症产生的主要因素为年龄、患者手术前伴随疾病、血清白蛋白指标等。结论 直肠癌术后并发症类型多且发生率高，因此，及时做好术前预防及其术后护理干预对降低并发症发生率、提高患者生存质量具有重要意义。 　　[关键词] 直肠癌；并发症；影响因素 　　[中图分类号] R735.3 [文献标识码] B [文章编号] 1673-9701（2015）22-0074-03 　　Analysis of postoperative complications of colorectal cancer surgery and their influencing factors 　　ZHAO Xiongqi 　　Second Department of Liver and Gall， Kunming First Peoples Hospital， Kunming 650000，China 　　[Abstract] Objective To explore the postoperative clinical complications of colorectal cancer surgery and their influencing factors. Methods Twenty-eight patients who received colorectal cancer surgery in our hospital from January 2010 to March 2015 were selected as the study subjects and analyzed. The patients clinical symptoms， surgical methods， relevant complications and postoperative pathological results were explored. Results Of the 28 patients with colorectal cancer， postoperative complications occurred in 17 patients（60.71%）， including 4 patients with stoma complication， 5 patients with anastomotic fistula and 8 patients with incision infection， and no death occurred. The main factors leading to postoperative complications included age， with preoperative diseases and serum albumin indicators. Conclusion The postoperative complications of colorectal cancer surgery have various types and high incidences， so preoperative prevention and postoperative nursing intervention are of important significance to reducing the incidence of complications and improving the quality of life of patients. 　　[Key words] Colorectal cancer； Complication； Influencing factors 　　直肠癌作为常见的恶性肿瘤疾病，占大肠癌发病率首位。该病早期无明显症状表现，主要临床症状为：①腹部胀痛；②常发生腹泻及便秘症状；③排便次数增加，并伴随少量黏液血便；④排便费力，且状如细条、扁条等。对于早期直肠癌可一次性切除原发肿瘤，对于转移病灶可分期切除，而对于老年患者需提前做好基础疾病诊断工作，选择适宜的治疗方法，提高治疗效果。目前，直肠癌治疗方式多以手术切除为主，但影响直肠癌术后恢复的因素众多，且并发症类型多，直接影响手术治疗效果，降低患者的生存