| 直肠癌保括约肌手术患者预防性回肠造口延迟回纳的危险因素 |
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| 引用本文： | 丘素语,胡民辉,过文泰,黄榕康,王辉. 直肠癌保括约肌手术患者预防性回肠造口延迟回纳的危险因素[J]. 中国普外基础与临床杂志, 2019, 0(4): 418-422 |
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| 作者姓名： | 丘素语 胡民辉 过文泰 黄榕康 王辉 |
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| 作者单位： | 中山大学附属第六医院结直肠肛门外科三区;新容奇医院普通外科;中山大学附属第六医院消化内镜科 |
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| 基金项目： | 广东省科技计划项目(项目编号:2014A020212716) |
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| 摘 要： | 目的探讨直肠癌术后预防性回肠造口延迟回纳的相关危险因素。方法回顾性分析2014年1月至2014年12月期间中山大学附属第六医院行预防性回肠造口关闭的130例直肠癌患者的临床资料,根据造口回纳时间分为延迟回纳组72例(≥120 d)和正常回纳组58例(<120 d)。结果 130例患者的肠造口回纳时间为39～692 d,中位数为132 d。多因素分析结果提示,术后辅助化疗(OR=14.106,P=0.002)、肿瘤距肛缘的距离(OR=0.019,P=0.002)及术后吻合口漏(OR=32.440,P=0.001)是延迟回纳的独立危险因素,术后辅助化疗及发生吻合口漏患者的回纳时间延长,随肿瘤距肛缘的距离缩短,回纳时间延长。结论直肠癌术后辅助化疗、肿瘤距肛缘的距离短和术后发生吻合口漏会延迟预防性回肠造口的关闭时间。
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| 关 键 词： | 直肠癌 延迟回纳 保括约肌手术 预防性回肠造口 |
Risk factors associated with the delay reversal ileostomy following sphincter-preserving surgery for rectal cancer |
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| QIU Suyu,HU Minhui,GUO Wentai,HUANG Rongkang,WANG Hui. Risk factors associated with the delay reversal ileostomy following sphincter-preserving surgery for rectal cancer[J]. Chinese Journal of Bases and Clinics In General Surgery, 2019, 0(4): 418-422 |
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| Authors: | QIU Suyu HU Minhui GUO Wentai HUANG Rongkang WANG Hui |
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| Affiliation: | (District Three of Department of Colorectal and Anal Surgery,The Sixth Affiliated Hospital of Sun Yat-sen University,Guangzhou 510655,P.R.China;Department of General Surgery,New Rong Qi Hospital,Foshan,Guangdong 528203,P.R.China;Department of Gastrointestinal Endoscopy,The Sixth Affiliated Hospital of Sun Yat-sen University,Guangzhou 510655,P.R.China) |
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| Abstract: | QIU Suyu;HU Minhui;GUO Wentai;HUANG Rongkang;WANG Hui(District Three of Department of Colorectal and Anal Surgery,The Sixth Affiliated Hospital of Sun Yat-sen University,Guangzhou 510655,P.R.China;Department of General Surgery,New Rong Qi Hospital,Foshan,Guangdong 528203,P.R.China;Department of Gastrointestinal Endoscopy,The Sixth Affiliated Hospital of Sun Yat-sen University,Guangzhou 510655,P.R.China) |
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| Keywords: | rectal cancer delay reversal sphincter-preserving surgery defunctioning ileostomy |
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