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目的:探讨肥胖对直肠癌手术后切口感染率的影响。方法:回顾性分析1056例直肠癌手术后患者的临床病理资料。患者均行直肠癌根治术,术后均经病理证实为直肠癌。对比肥胖患者与非肥胖患者的切口感染率;Logistic回归分析影响术后切口感染的高危因素。结果:肥胖患者术后切口感染率明显升高(24.6%vs10.7%;P<0.001)。肥胖(OR=1.482;95%CI,1.225-1.848)、开腹手术(OR=1.521;95%CI,1.264-1.937)是影响患者术后切口感染的独立因素。切口感染患者的术后住院时间明显延长。结论:肥胖患者术后切口易感染,应重视其术后切口的处理。
Objective: To investigate the effect of obesity on incision infection rate after rectal cancer surgery. Methods: The clinical and pathological data of 1056 patients with rectal cancer after surgery were retrospectively analyzed. All patients underwent radical resection of the rectum. All patients were pathologically confirmed as rectal cancer. The incidence of incision infection in obese and non-obese patients was compared. Logistic regression analysis was used to analyze the risk factors of postoperative wound infection. Results: The incidence of incision infection in obese patients was significantly higher (24.6% vs10.7%; P <0.001). Obesity (OR = 1.482; 95% CI, 1.225-1.848), laparotomy (OR = 1.521; 95% CI, 1.264-1.937) was an independent factor affecting postoperative wound infection in patients. Infection patients incision hospitalization was significantly longer. Conclusion: The incision in obese patients is easy to be infected and the treatment of incision should be emphasized.