腹腔镜直肠癌根治术后吻合口漏的危险因素分析

被引：9

作者：

宁武 ^{[1
]}

孟凡强 ^{[1
]}

裴东坡 ^{[1
]}

秦蕾 ^{[2
]}

王文跃 ^{[1
]}

机构：

[1] 中日友好医院胃肠外科

[2] 北京老年医院普外科

来源：

中日友好医院学报 | 2012年 / 26卷 / 05期

关键词：

腹腔镜直肠癌根治术; 吻合口漏; 危险因素;

D O I：

暂无

中图分类号：

R735.37 [];

学科分类号：

100214 ;

摘要：

目的:分析腹腔镜直肠癌根治术后吻合口漏的危险因素。方法:回顾性分析中日友好医院2009年1月～2012年6月间115例腹腔镜直肠癌根治术患者的临床资料,以手术后是否发生吻合口漏为因变量,对患者临床资料进行单因素及多因素非条件Logistic回归分析。结果:本组患者吻合口漏的发生率为5.2%(6/115),回归分析显示吻合口平面距肛缘≤5cm、体重指数≥25kg/m2、手术时间≥270min是吻合口漏发生的独立危险因素,相对危险度分别为10.909、7.911、8.553。结论:吻合口平面距肛门≤5cm、体重指数≥25kg/m2、手术时间≥270min的患者易发生吻合口漏。

引用

页码：265 / 267+271 +271

页数：4

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