直肠癌根治术后并发吻合口漏相关因素分析

目的探讨低位直肠癌保肛根治术后并发吻合口漏的相关因素。方法回顾性分析128例低位直肠癌保肛根治术后患者的临床资料。结果128例患者中吻合口漏的发生率为10．9％（14／128）；男性、年龄≥65岁、肿瘤下端距肛缘〈7cm、Dukes分期（C＋D）期、合并肠梗阻、糖尿病和低蛋白血症患者易发生吻合口漏，与女性、年龄〈65岁、肿瘤下端距肛缘≥7cm、Dukes分期（A＋B）期、无肠梗阻、无糖尿病、无低蛋白血症等比较，差异均有统计学意义（均P〈0．05）。结论低位直肠癌保肛根治术后并发吻合口漏与患者自身因素、肿瘤本身及合并疾病等相关。

Clinical analysis of correlation factor of anastomotic leakage after anus-preserving operation for low rectal cancer

Objective To investigate correlation factor of anastomotic leakage after anus-preserving operation for low rectal cancer. Methods Clinical data of 128 cases in recent 3 years of low rectal cancer after anus-preserving operation were retrospectively analyzed. Results The incidence rate of anastomotic leakage in the group were 10.9%(14/128). The patients of male,were age of ≥ 65 years old and ＜7cm of the anal margin from lower tumor,dukes the later stages,complicated by obstruction, diabetes, and hypoalbuminemia. The take place easily anastomotic leakages in the patients which were(all P ＜ 0.05). Conclusion The rate of anastomotic leakage after anus-preserving operation for low rectal cancer is related to personal factors ,tumor factors and complicating diseases ,etc.