邱晋钱锋△ 任鸿郭国宁田君.高脂血症对直肠癌不同手术方式合并症的影响[J].现代生物医学进展英文版,2012,12(10):1886-1888. |
高脂血症对直肠癌不同手术方式合并症的影响 |
Effects of Hyperlipidemia on Postoperative Complications in Patients ofRectal Cancer with Different Surgical |
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DOI: |
中文关键词: 高脂血症 直肠癌 腹腔镜 |
英文关键词: Hyperlipidemia Cancer Laparoscopic |
基金项目: |
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中文摘要: |
目的:探讨高脂血症对直肠癌不同手术方式合并症的影响。方法:回顾分析行开腹或腹腔镜直肠癌根治术治疗的255 例
患者的临床资料,比较伴或不伴高脂血症患者的围手术期指标,采用卡方检验或t 检验进行统计学分析。结果:与非高脂血症组
患者相比,高脂血症组术中出血量大(P<0.01),术后恢复进食时间长(P<0.01),术后住院时间增加(P<0.05),拔除引流管时间延长
(P<0.01),切口脂肪液化并发症增多(P<0.05)。与开腹组相比,腹腔镜组术中出血量少(P<0.01),手术时间、术后恢复进食时间、术后
住院时间、拔除引流管时间均明显缩短(均为P<0.01),切口脂肪液化发生率低(P<0.05)。在腹腔镜手术组,与正常血脂组相比,高脂
血症患者术中出血量较大(P<0.01),余指标无明显差异。结论:高脂血症可引起直肠癌手术出血量增加、术后恢复慢、伤口脂肪液
化发生率高,腹腔镜手术可加快患者术后恢复。 |
英文摘要: |
Objective: To investigate the effects of hyperlipidemia on postoperative complications in patients of rectal cancer with
different surgical. Methods: A retrospective analysis on clinical data of 255 patients underwent open or laparoscopic rectal cancer surgical
were reviewed. Perioperative indicators of patients with or without hyperlipidemia were compared. Chi-square test or t test was used for
statistical analysis. Results: Compared to non-hyperlipidemic patients, hyperlipidemia group had more blood loss volume (P<0.01), more
postoperative recovery time for eating (P<0.01), increased postoperative hospital stay (P<0.05) , prolonged removal of drainage tube
(P<0.01), increased fat liquefaction (P<0.05). Compared with laparotomy, laparoscopic group had less blood loss (P<0.01), operative
time, postoperative recovery feeding time, postoperative hospital stay, and time to drainage tube removal were significantly reduced (all
P<0.01), low incidence of wound fat liquefaction (P<0.05). In the laparoscopic surgery group, compared with normal cholesterol, higher
blood loss in patients with hyperlipidemia (P<0.01), other indicators showed no significant difference. Conclusion: Hyperlipidemia can
cause increased bleeding after rectal cancer surgery, and postoperative recovery was slow, the high incidence of wound fat liquefaction,
Laparoscopic surgery can accelerate postoperative recovery. |
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