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。

Discussion of influence factor of intestinal obstruction after radical resection for colorectal cancer

Objective To discuss the influence factor of intestinal obstruction after radical resection for colorectal cancer.Methods678 cases of patients underwent radical resection for colorectal 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. Results Among 678 cases after radical resection for colorectal cancer,41 suffered with intestinal obstruction, the incidence was 6.05%（41/678）.N2 stage,previous history of colorectal tumor resection,preoperative combined intestinal obstruction,left hemicolectomy,right hemicolectomy were the independent risk factors of intestinal obstruction after radical resection for colorectal cancer （P〈0.05）.ConclusionIn clinical work should pay attention to the prevention of risk factors,relieve pain of patients,improve the prognosis.