%0 Journal Article
%T 肛管减压预防直肠癌前切除术后吻合口瘘的价值评估<br>Anal Canal Decompression in Prophylaxis of Anastomotic Leakage after Anterior Resection for Rectal Neoplasms
%A 玉红
%A 王林楠
%A 杨翔
%A 赵宇亮
%A 欧阳书睿
%A 于永扬
%A 杨烈
%A 周总光
%J Advances in Clinical Medicine
%P 29-32
%@ 2161-8720
%D 2013
%I Hans Publishing
%R 10.12677/ACM.2013.34008
%X <div style=\"text-align:justify;\">
	<span style=\"line-height:1.5;\">目的</span><span style=\"line-height:1.5;\">:</span><span style=\"line-height:1.5;\"> </span><span style=\"line-height:1.5;\">研究肛管减压对于预防直肠癌前切除术后吻合口瘘的作用。</span><span style=\"line-height:1.5;\">方法</span><span style=\"line-height:1.5;\">:</span><span style=\"line-height:1.5;\"> </span><span style=\"line-height:1.5;\">纳入</span><span style=\"line-height:1.5;\">2010</span><span style=\"line-height:1.5;\">年</span><span style=\"line-height:1.5;\">1</span><span style=\"line-height:1.5;\">月至</span><span style=\"line-height:1.5;\">2012</span><span style=\"line-height:1.5;\">年</span><span style=\"line-height:1.5;\">6</span><span style=\"line-height:1.5;\">月期间在华西医院胃肠外科中心同一手术组行直肠癌前切除术的患者，收集其基本人口学资料、肿瘤相关临床指标、合并症、肿瘤距肛缘距离、是否安置肛管、是否发生吻合口瘘等资料。使用</span><span style=\"line-height:1.5;\">SPSS17.0</span><span style=\"line-height:1.5;\">软件进行统计分析。</span><span style=\"line-height:1.5;\">结果</span><span style=\"line-height:1.5;\">: </span><span style=\"line-height:1.5;\">共纳入患者</span><span style=\"line-height:1.5;\">432</span><span style=\"line-height:1.5;\">人，其中肛管减压组</span><span style=\"line-height:1.5;\">207</span><span style=\"line-height:1.5;\">人，对照组</span><span style=\"line-height:1.5;\">225</span><span style=\"line-height:1.5;\">人。两组基线水平无差别。肛管减压组吻合口瘘的发生率为</span><span style=\"line-height:1.5;\">1.45% </span><span style=\"line-height:1.5;\">(</span><span style=\"line-height:1.5;\">3/207</span><span style=\"line-height:1.5;\">)</span><span style=\"line-height:1.5;\">，低于对照组</span><span style=\"line-height:1.5;\">4.89% (11/225)</span><span style=\"line-height:1.5;\">，差异有统计学意义</span><span style=\"line-height:1.5;\">(</span><span style=\"line-height:1.5;\">P = 0.044</span><span style=\"line-height:1.5;\">)</span><span style=\"line-height:1.5;\">。行</span><span style=\"line-height:1.5;\">logistic</span><span style=\"line-height:1.5;\">回归分析显示糖尿病、</span><span style=\"line-height:1.5;\">BMI &gt; 25 kg/m</span><span style=\"line-height:1.5;\">2</span><span style=\"line-height:1.5;\">、肿瘤下缘距肛门</span><span style=\"line-height:1.5;\">&lt;</span><span style=\"line-height:1.5;\">7 cm</span><span style=\"line-height:1.5;\">为直肠癌前切除术后吻合口瘘的独立危险因素</span><span style=\"line-height:1.5;\">(</span><span style=\"line-height:1.5;\">P &lt; 0.001, = 0.001, 0.002</span><span style=\"line-height:1.5;\">)</span><span style=\"line-height:1.5;\">。</span><span style=\"line-height:1.5;\">结论</span><span style=\"line-height:1.5;\">:</span><span style=\"line-height:1.5;\"> </span><span
%K 直肠癌前切除术；吻合口瘘；肛管减压<br> Anterior Resection for Rectal Neoplasms
%K Anastomotic Leakage
%K Anal Canal Decompression
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=12889