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目的观察直肠癌手术疗效,并探讨其手术疗效和并发症之间的关系。方法回顾分析我院2005年9月至2007年8月期间收治的直肠癌患者手术治疗的效果以及患者并发症的发生及治疗情况,对比分析直肠癌手术并发症与治疗的效果之间的关系。结果并发症发生率为38.10%,其中吻合口瘘3例、吻合口狭窄3例、切口感染13例、肺部感染3例、肠梗阻3例、骶前出血7例;与无并发症患者相比,并发症组患者手术后拔除导尿时间(P<0.05)、肛门排气时间(P<0.05)和术后住院天数(P<0.05)均明显升高。结论直肠癌手术并发症明显影响了患者的手术治疗效果,在直肠癌手术的治疗过程中,应该重视预防并发症的发生,积极防治手术并发症,提高直肠癌手术治疗的效果。
Objective To observe the effect of surgical treatment of rectal cancer and to explore the relationship between operative efficacy and complications. Methods Retrospective analysis of the surgical treatment of patients with rectal cancer admitted to our hospital from September 2005 to August 2007 and the occurrence and treatment of patients with complications and comparative analysis of the surgical rectal cancer complications and the relationship between the effect of treatment. Results Complication rate was 38.10%. Among them, 3 cases were anastomotic fistula, 3 cases were anastomotic stenosis, 13 cases were incision infection, 3 cases were pulmonary infection, 3 cases were intestinal obstruction and 7 cases were presacral hemorrhage. In the complication group, the catheterization time (P <0.05), anal exhaust time (P <0.05) and postoperative hospital stay (P <0.05) were obviously increased after operation. Conclusion The surgical complications of rectal cancer significantly affect the surgical treatment of patients. In the course of rectal cancer surgery, we should pay attention to the prevention of complications, and actively prevent and treat surgical complications and improve the effect of surgical treatment of rectal cancer.