结直肠癌术后患者的疼痛和便功能之间的相关性以及影响患者预后的相关因素
Yuanwei Zhang1, Chengjiang Xiang1, Jinhao Liang1
1Department of General Surgery Ward 3, Shengzhou People's Hospital (Shengzhou Branch of the First Affiliated Hospital of Zhejiang University School of Medicine, the Shengzhou Hospital of Shaoxing University), 312400 Shengzhou, Zhejiang, China.
Annali italiani di chirurgia
|April 29, 2024
概括
手术后的疼痛和较低的最大耐受体积 (MTV) 与结直肠癌患者的低前切除综合征 (LARS) 有关. 诸如口位置和放射治疗等因素也会增加LARS风险,影响预后.
科学领域:
- 结肠直肠外科手术是什么意思
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
背景情况:
- 术后疼痛和排便功能显著影响结直肠癌患者的预后.
- 了解疼痛和肠道功能之间的关系对于改善患者的治疗结果至关重要.
研究的目的:
- 在结直肠癌患者中探索术后疼痛和排便功能之间的相关性.
- 为了确定与低前置切除综合征 (LARS) 相关的因素.
主要方法:
- 对94名结直肠癌患者进行了回顾性研究.
- 使用视觉模拟尺度 (VAS) 评估疼痛,使用低前置切除综合征 (LARS) 尺度评估肠道功能.
- 用后勤回归和ROC分析测量了直肠压力 (MTV,ARP,MSP),并分析了LARS的相关性和预测因素.
主要成果:
- VAS分数与LARS分数呈正相关;同时LARS组的VAS分数更高.
- 同时的LARS与年龄较大,BMI较高,静脉位置较低,手术前放射治疗和静脉有关.
- 在同时接受LARS组中观察到较低的MTV,ARP和MSP水平.
- 截止位置<5厘米,手术前放射治疗,截止,高VAS和低MTV是同时LARS的显著预测因素.
结论:
- 低前切除综合征 (LARS) 与术后疼痛水平密切相关.
- 解剖位置,手术前放射治疗,解剖,高VAS和低MTV增加了并发LARS的风险.
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