结直肠癌根治术后肠梗阻的相关影响因素探讨.docVIP

结直肠癌根治术后肠梗阻的相关影响因素 探讨 ［ ］目的探讨结直肠癌根治术后肠梗阻的相关影响 因素。方法选择2003年6月?2013年6月河南省封丘县 中医院普外科收治的行结直肠癌根治术患者678例。采用自 制量表调查患者一般情况，包括性别、年龄、既往手术史、 术前合并症、手术类型、手术方式、手术时间、术后镇痛剂 应用及肿瘤TNM分期、分级情况。采用Logistic回归分析 进行多因素检验。结果 结直肠癌根治术患者678例，其中 发生肠梗阻41例，肠梗阻发生率为6. 05% (41/678)。TNM 分期为N2期、既往史有结直肠肿瘤切除、术前合并肠梗阻、 行左半结肠切除术和右半结肠切除术是直结肠癌根治术后 发生肠梗阻的独立危险因素(P〈0.05)。结论在临床工作 中应注意危险因素的预防，减轻患者痛苦，改善预后。 ［关键词］结直肠癌根治术；肠梗阻；危险因素 ［中图分类号］R735. 3 ［文献标识码］B ［文章编号］ 2095-0616 (2014) 16-188-03 Discussion of influenee factor of intestinal obstruction after radical resection for colorectai cancer YIN Yuling Department of General Surgery, Chinese Medicine Hospital of Fengqiu County in Henan Province, Fengqiu 453300, China [Abstract] Objective To discuss the influence factor of intestinal obstruetion after radical resection for colorectal cancer. Methods 678 cases of patients underwent radical resection for colorectai cancer in Department of General Surgery, hospital of traditional Chinese medicine of Fengqiu County in Henan Province from June 2003 to June 2013 were selected. Self-designed scale was used to investigate patients? general condition, including gender, age, history of surgery , preoperative complications , operation type , time of operation , postoperative analgesic application , tumor TNM stage , tumor classification. Logistic regression analysis was used for multi-factors analysis? ResuIts Among 678 cases after radical resection for colorectal cancer , 41 suffered with intestinal obstruetion, the incidence was 6.05% ( 41/678 ) . N2 stage , previous history of colorectal tumor resection , preoperative combined intestinal obstruetion ， left hemicolectomy , right hemicolectomy were the independent risk factors of intestinal obstruetion after radical resection for colorectai cancer (P0.05) . Conclusion In clinical work should pay attention to the prevention of risk factors, relieve pain of patients, improve the prognosis. [Key words] Radical resection for colorectai cancer； Intestinal obstruetion； Risk factors 有研究报道显