论文部分内容阅读
目的探讨直肠癌全系膜切除术(TME)后吻合口漏的危险因素。方法回顾分析行直肠癌全系膜切除术治疗的175例患者的临床资料。结果 175例行全系膜切除术的直肠癌患者中,吻合口漏的发生率为8.6%,术后吻合口漏发生的危险因素包括性别、年龄、肿瘤位置、肿瘤大小、糖尿病、肠梗阻及术前行放化疗(P<0.05)。结论 TME后吻合口漏的发生与性别、年龄、肿瘤位置、肿瘤大小,是否有糖尿病,是否有肠梗阻及术前是否行放化疗等因素有关。
Objective To investigate the risk factors of anastomotic leakage after total mesorectal excision (TME) of rectal cancer. Methods The clinical data of 175 patients undergoing total mesorectal excision for rectal cancer were retrospectively analyzed. Results The incidence of anastomotic leakage in 175 patients with total mesorectal excision was 8.6%. The risk factors for anastomotic leakage after operation included gender, age, tumor location, tumor size, diabetes mellitus, intestinal obstruction and Chemotherapy before surgery (P <0.05). Conclusions The incidence of anastomotic leakage after TME is related to gender, age, tumor location, tumor size, presence or absence of diabetes mellitus, intestinal obstruction, and whether to undergo radiotherapy and chemotherapy before operation.