国内直肠癌术后吻合口瘘危险因素Meta分析周灿.pdf

国内直肠癌术后吻合口瘘危险因素Meta分析周灿.pdf

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311 ( ) Vol.31 No.1 2010 1 Journal of Xi an Jiaotong University(Medical Sciences) Jan.2010 国内直肠癌术后吻合口瘘危险因素的Meta分析 周 灿, 陈武科,何建军, 任 予, 王 珂, 牛利刚, 周瑜辉 ( ,  710061) :目的 。方法  Meta 1999 12009 119 。结果 ≥60 60 , OR 0.50(95%CI :0.33~0.76, P0.01); , OR 2.17(95%CI :1.38~3.42,P0.01);≤7 cm 7 cm , OR 1.79(95%CI :1.37~2.35, P0.01); , OR 3.66(95%CI :2.19~6.09, P0.01); , (P0.05), OR 0.70(95% CI :0.47~ 1.05);, OR 3.16(95%CI :2.27 ~4.39, P0.01);Dukes A、B C、D , OR 0.61(95%CI: 0.45~0.83, P0.01);, OR 2.15(95%CI:1.47~ 3.15, P0.01);, (P0.05), OR 0.39(95%CI :0.14~ 1.05);, OR 0.27 (95%CI:0.13~0.56, P0.01)。结论 ≥60 、、、、7 cm、 Dukes C、D 、。 :;;;Meta :R735   :A   :1671-8259(2010)01-0115-07 Meta-analysis of the risk factors for clinical anastomotic leakage after resection of rectal cancer in China ZHOU Can, CHEN u-ke, HE Jian-jun, REN Yu, ANG Ke, NIU Li-gang, ZHOU Yu-hui (Department of Oncology Surgery, the First Affiliated Hospital, Medical School of Xi an Jiaotong University, Xi an 710061, China) ABSTRACT:Objective To explore the risk factors for clinical anastomotic leakage after resection of rectal cancer in China.Methods  By meta-analysis e made a comprehensive analysis of the risk factors for clinical anastomotic leakage after resection of rectal cancer based on 19articles published in Chinabet een January 1999and January 2009.Results  The anastomotic leakage rate as higher in the patients aged 60years old and above than in those younger, ith the combined odds ratio (OR )value being 0.50 (95% CI :0.33-0.76)(P0.01).The i

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