女性直肠癌患者术后并发直肠阴道瘘的危险因素分析

目的分析女性直肠癌患者术后并发直肠阴道瘘的危险因素。方法对589例直肠癌患者的临床资料进行回顾性研究,对术后并发直肠阴道瘘的危险因素进行Logic回归分析。结果 589例直肠癌患者术后发生直肠阴道瘘54例,发生率为9.2%。经Logic回归分析发现,直肠阴道瘘的发生主要与使用双吻合器、肿瘤位于直肠前侧壁、联合盆腔脏器切除、肿瘤距肛门距离<10 cm、术前放射治疗、患者绝经等因素有关(P<0.01、0.05)。结论术中使用双吻合方式、肿瘤位置、联合其他脏器切除、肿瘤距肛门距离(<10 cm)、术前放射治疗和患者绝经是女性直肠癌术后发生直肠阴道瘘的危险因素。

Analysis of the risk factors of rectovaginal fistula after operation in female patients with rectal cancer

Objective To study the risk factors of rectovaginal fistula after operation in female patients with rectal cancer.Methods The clinical data of 589 cases of rectal cancer were retrospectively reviewed,and the risk factors of rectovaginal fistula after operation were investigated by Logic regression analysis.Results Among 589 cases of rectal cancer,rectovaginal fistula was found in 54 cases after operation,the incidence rate was 9.2%.The results of Logic regression analysis showed that the rectovaginal fistula was related with following factors:the use of double stapler,the rectum anterolateral tumor,combined with pelvic organ resection,the distance from tumor to anal was less than 10 cm,preoperative radiotherapy,menostasis(P<0.01,0.05).Conclusion Using double stapler,location of the tumor,combined other pelvic organ resection,the distance from tumor to anal(<10 cm),preoperative radiotherapy and menostasis may be the risk factors of rectovaginal fistula are after operation in patients with rectal cancer.