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| 直肠癌前切除术术后吻合口漏的危险因素分析 | |
| 引用本文： | 冯超,姚若全,黄飞舟,聂晚频,刘浔阳. 直肠癌前切除术术后吻合口漏的危险因素分析[J]. 南方医科大学学报, 2011, 31(5): 908-910 |
| 作者姓名： | 冯超 姚若全 黄飞舟 聂晚频 刘浔阳 |
| 作者单位： | 中南大学湘雅三医院普外科,湖南,长沙,410013 |
| 摘 要： | 摘要：目的探讨直肠癌前切除手术术后吻合口漏的相关危险因素。方法对1999年6月~2009年6月我院行直肠癌前切 除手术患者628例的临床资料行回顾性研究, 分析影响术后吻合口漏发生的危险因素。结果628例直肠癌前切除术后共 发生吻合口漏54例（8.6%，54/628）。患者术前有糖尿病病史、术前血清白蛋白<35 g/L、术中没有行预防性近端肠造口、肿 瘤下端距肛缘距离≤7 cm、肿瘤病灶直径>5 cm是患者术后发生吻合口漏的危险因素。并且肿瘤下端距肛缘距离≤7 cm是 术后发生吻合口漏的独立危险因素（P＜0.05）。结论低位直肠癌、肿瘤较大、合并糖尿病及营养不良是直肠癌术后吻合 口漏的危险因素, 行保护性近端肠造瘘可以预防吻合口漏的发生。 |
| 关 键 词： | 吻合口漏 直肠癌前切除术 危险因素 |
Risk factors for anastomotic leakage after anterior resection for rectal cancer |
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| FENG Chao,YAO Ruo-quan,HUANG Fei-zhou,NIE Wan-pin,LIU Xun-yang. Risk factors for anastomotic leakage after anterior resection for rectal cancer[J]. Journal of Southern Medical University, 2011, 31(5): 908-910 | |
| Authors: | FENG Chao YAO Ruo-quan HUANG Fei-zhou NIE Wan-pin LIU Xun-yang |
| Affiliation: | FENG Chao,YAO Ruo-quan,HUANG Fei-zhou,NIE Wan-pin,LIU Xun-yang Department of General Surgery,Third Xiangya Hospital of Central South University,Changsha 410013,China |
| Abstract: | Objective To identify the risk factors associated with anastomotic leakage following an anterior resection for rectal cancer. Methods Between June,1999 and June,2009,628 patients underwent anterior resection for rectal cancer. A retrospective study of the cases was performed to identify the risk factors for anastomotic leakage following the resection. Results The overall incidence rate of anastomic leak was 8.6%(54/628) in these patients. A low albumin level(less than 35 g/L) ,diabetes,absence of a protecti... |
| Keywords: | anastomotic leakage anterior resection for rectal cancer risk factors |
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