直肠茎泄漏:在哈特曼治疗结直肠癌的手术后,这是一个被忽视的并发症
Xing Huang1, Zhigang Xiao1, Zhongcheng Huang1
1The First Department of General Surgery (Department of Colorectal and Anal Surgery), Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha, Hunan, China.
结直肠茎泄漏是哈特曼结直肠癌手术的一个严重并发症. 男性性别,体重不足BMI和低瘤位置是这种并发症的关键危险因素.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术并发症 手术并发症
- 在瘤学瘤学.
背景情况:
- 哈特曼手术是由于结直肠癌导致大肠阻塞的常见手术.
- 结直肠漏是该程序的一个显著但未被充分研究的并发症.
研究的目的:
- 调查Hartmann手术后直肠茎泄漏的发生率和独立风险因素.
- 为了将计算机断层扫描 (CT) 图像检测结果与直肠茎泄漏相关联.
- 为了识别直肠漏的潜在早期诊断线索.
主要方法:
- 在2015年1月至2022年1月期间接受了哈特曼结直肠癌手术的患者的回顾性分析.
- 在临床症状,排水液和CT特征的基础上诊断直肠茎泄漏.
- 多变量物流回归分析以确定独立的风险因素.
主要成果:
- 直肠茎泄漏的发生率为11.6%.
- 确定的独立风险因素包括男性性别,体重不足的体重指数,以及瘤位于腹反射以下的位置.
- 关于泄漏的CT发现包括炎症性排泄物,,以及直肠茎周围的.
结论:
- 男性性别,体重不足BMI和低瘤位置是哈特曼手术后直肠茎泄漏的独立风险因素.
- 电脑图像扫描可以帮助将直肠茎泄漏分为炎症排泄和的阶段.
- 术后不明原因的小肠阻塞可能表明早期的直肠漏.
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