结直肠癌根治术后肠梗阻的相关影响因素探讨.doc

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1、结直肠癌根治术后肠梗阻的相关影响因素探讨［摘要］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)oTNM分期为N2期、既往史有结直肠肿瘤切除、术前合并

2、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［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)16-188-03DiscussionofinflueneefactorofintestinalobstructionafterradicalresectionforcolorectalcancerYINYulingDepartmentofGeneraISurgery,ChineseMedicineHospita

3、lofFengqiuCountyinHenanProvince，Fengqiu453300,China[Abstract]ObjectiveTodiscusstheinflueneefactorofintestinalobstructionafterradicalresectionforcolorectalcancer.Methods678casesofpatientsunderwentradicalresec廿onforcolorectalcancerinDepartmentofGeneralSurgery,hospi

4、taloftraditionalChinesemedicineofFengqiuCountyinHenanProvineefromJune2003toJune2013wereselected.Sei仁designedscalewasusedtoinvestigatepatients，generalcondition,includinggender,age,historyofsurgery,preoperativecomplications,operationtype,timeofoperatiorbpostoperati

5、veanalgesicapplication,tumorTNMstage,tumorclassification.Logisticregressionanalysiswasusedformulti-factorsanalysis・ResultsAmong678casesafterradicalresectionforcolorectalcancer,41sufferedwithintestinalobstruction，theincideneewas6.05%(41/678)・N2stage,previoushistor

6、yofcolorectaltumorresection,preoperativecombinedintestinalobstruction,lefthemicolectomy,righthemicolectomyweretheindependentriskfactorsofintestinalobstructionafterradicalresectionforcolorectalcancer(p