结直肠癌术后早期炎性肠梗阻的相关危险因素  

Related Risk Factors of Early Postoperative Inflammatory Ileus after Radical Resection of Colorectal Carcinoma

作　　者：朱乃标[1] 杨磊磊[1] 毕铁男[1] 兰跃福[1] 周申康[1] 

机构地区：[1]浙江省临海市温州医学院附属浙江省台州医院,台州317000

出　　处：《中国中西医结合外科杂志》2013年第2期117-119,共3页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：浙江省医学会临床科研基金项目(2009ZYC50);台州市科技计划项目(2010-26-48)

摘　　要：目的:探讨结直肠癌术后早期炎性肠梗阻的发生原因及预防策略。方法:回顾性分析120例结直肠癌术后早期炎性肠梗阻患者的临床资料,对其发生的相关危险因素进行单因素及多因素分析。结果:早期炎性肠梗阻与年龄(P=0.023)、手术方式(P=0.008)、腹部手术史(P=0.002)、肠道准备情况(P<0.001)、术中防粘连剂使用(P=0.006)、手术时间(P=0.042)有关;开腹手术(P=0.024)、有腹部手术史(P=0.034)及术前未行肠道准备(P=0.006)是结直肠癌术后早期炎性肠梗阻发生的独立危险因素。结论:开腹手术、有腹部手术史及术前未行肠道准备是结直肠癌术后早期炎性肠梗阻发病的独立危险因素。Objective To investigate the causes and prevention of early postoperative inflammatory ileus （EPII） after radical resection of colorectal carcinoma. Methods Clinical data of 120 cases of EPII treated from June 2005 to June 2011 were analyzed retrospectively,the related risk factors of EPII were analyzed by uni- variate analysis and multivariate analysis. Results Univariate analysis revealed correlations between EPII and various factors ranging from patient age （P=0.023）, type of surgery （P=0.008）, history of abdominal surgery （P= 0.002）, preoperative intestinal preparation （P 〈 0.001）, use of anti-adhesion agent （P=0.006） and operation time （P=0.042）. Open surgery （P=0.024）,history of abdominal surgery （P=0.0$4）,and without colon preparation for surgery （P=0.006） were found to be independent risk factors of EPII after radical resection of colorectal car- cinoma. Conclusion Open surgery,history of abdominal surgery,and no preparation of colon for surgery were found to be independent risk factors of EPII after radical resection of colorectal carcinoma.

关 键 词：结直肠癌 术后早期炎性肠梗阻 并发症 危险因素 

分 类 号：R735.35[医药卫生—肿瘤] R574.5[医药卫生—临床医学]