直肠癌保肛手术输血的相关影响因素分析  

Predictive factors of blood transfusion requirement in anus-preserving operation

作　　者：崔伟[1] 于波[1] 袁强[1] 陈纲[1] 李世拥[1] 

机构地区：[1]北京军区总医院普通外科(全军普通外科中心),北京100700

出　　处：《临床军医杂志》2015年第2期142-144,147,共4页Clinical Journal of Medical Officers

基　　金：全军"十二五"课题资助项目(编号:CWS11J007)

摘　　要：目的探讨影响直肠癌保肛手术输血的相关因素。方法回顾我院2010年1月—2012年12月间152例接受直肠癌保肛手术患者的临床资料,分析影响直肠癌保肛手术输血的相关因素。结果 Logistic回归分析显示,在判断直肠癌保肛手术的输血相关因素中,骨盆腔宽度窄、肿瘤浸润深度深、肿瘤位置低是影响患者输血的强危险因素。结论直肠癌保肛手术影响输血的因素明确,术前应做好预测、充分准备。Objective To evaluate the predictive factors of blood transfusion in anus-preserving operation for rectal carcinoma.Methods The 152 Patients who had undergone anus-preserving operation in our hospital from January 2010 to December 2012 were enrolled in the study. Their clinical data were retrospectively analyzed so as that the clinicopathological factors predicting the probability of blood transfusion would be identified. Results The logistic regression analysis showed that the width of pelvic cavity,the depth of tumor invasion and the location of the tumor were the risk factors of blood transfusion. Conclusion Analysis of the risk factors for blood transfusion in anus-preserving operation to predict the likelihood of transfusion can be used to identify the patients at high risk for blood transfusion.

关 键 词：直肠肿瘤 保肛手术 输血 

分 类 号：R735.37[医药卫生—肿瘤]