结肠癌完整结肠系膜切除术后乳糜漏的危险因素分析  

Analysis of risk factors for colon CME postoperative chylous leakage

作　　者：唐暮白[1] 江滨[2] 

机构地区：[1]南京市中医院普外科,江苏南京210001 [2]南京市中医院肛肠科,江苏南京210001

出　　处：《中国现代普通外科进展》2013年第11期855-857,共3页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:探讨结肠癌完整结肠系膜切除术(CME)后乳糜漏的危险因素。方法:选取2010年2月—2012年3月收治的126例行CME的结肠癌患者的临床资料进行回顾性分析,对肿瘤大小、手术时间、术中出血量以及清除淋巴结数目等可能导致乳糜漏发生的因素进行多因素Logistic分析。结果:结肠癌CME术后乳糜漏的发生率为6.3%(8/126)。单因素分析显示,肿瘤部位、大小,清除淋巴结数目,术中出血量与术后发生乳糜漏相关(P<0.05)。多因素Logistic回归分析显示,清除淋巴结数目(β=1.024,OR=1.368)、肿瘤部位(β=0.496,OR=1.306)为术后发生乳糜漏的独立危险因素。结论:右半结肠癌变的患者,应注意术中淋巴结清除时的探查工作,既有利于减少复发,同时能减少术后乳糜漏的发生,提高患者的临床治疗效果。Objective： To investigate the the colon complete mesocolon excision surgery risk factors for postoperative chylous leakage. Methods： From February 2010 to March 2012, 126 the routine complete mesocoton resection of colon cancer patients were analyzed retrospectively. Tumor size, operative time, blood loss, and the number of harvested lymph nodes and other indicators of the factors that may lead to chylous leakage were took the multivariate Logistic regression analysis. Results： The chylous leakage incidence who took complete mesocolic excision was 6.3% （8/126）. Multivariate logistic regression analysis： number of lymph node dissection （ β=1.024, 0R=1.368）, tumor site （ β=0.496, OR=1,306）were the independent risk factors for postoperative chylous leakage Conclusion： Should pay attention to the lymph node dissection exploration work to the right colon cancer patients, that helps to reduce recurrence, while reducing the occurrence of postopera- tive chylous leakage, and improve the clinical effect .

关 键 词：结肠肿瘤 完整结肠系膜切除术 乳糜漏 危险因素 

分 类 号：R735.35[医药卫生—肿瘤]