蒋先学

【摘 要】目的：针对直肠癌患者探究选择腹腔镜直肠癌根治术治疗后患者的并发症发生相关的因素。方法：随机非盲选择我院收治的直肠癌患者共209例（于2016年5月至2018年5月在我院診断），对患者展开回顾性分析，将患者进行腹腔镜直肠癌根治手术的相关临床资料进行统计学讨论。结果：对术后并发症和各个因素进行对比，术前伴有并发症、术中出血超过100ml可能和术后并发症有直接关系。影响因素进行多因素分析，肺部疾病和术中出血量是腹腔镜直肠癌根治术术后并发症发生的独立危险因素。结论：腹腔镜直肠癌根治术中，应该重点对术前伴发的肺部疾病以及术中出血量进行重点关注，对术后并发症的发病概率有明显影响。

【关键词】直肠癌患者；腹腔镜直肠癌根治手术；临床治疗；并发症；相关因素

The related factors of complications after laparoscopic rectal cancer radical operation were analyzed

JiangXianxue （Yue chi county people's hospital Thoracic surgery Sichuan Yuechi 638300）

Abstract：Objective To explore the factors related to the occurrence of complications in patients with rectal cancer after laparoscopic radical rectal surgery. Methods： A total of 209 cases of rectal cancer patients （diagnosed in our hospital from May 2016 to May 2018） were randomly selected for retrospective analysis， and the relevant clinical data of laparoscopic rectal cancer radical surgery were statistically discussed. Results： The postoperative complications and various factors were compared， and there was a direct correlation between postoperative complications and postoperative complications. Multivariate analysis of influencing factors pulmonary disease and intraoperative blood loss were independent risk factors for complications after laparoscopic rectal cancer radical resection. Conclusion： In laparoscopic radical rectal cancer surgery， attention should be paid to the pulmonary disease associated with the operation and the amount of intraoperative blood loss， which has a significant impact on the incidence rate of postoperative complications.

Key words： Rectal cancer patients； Laparoscopic radical rectal surgery； Clinical treatment； Complications； Related factors

【中图分类号】R735.3 【文献标识码】A 【文章编号】1005-0019（2018）22--01

直肠癌在我国作为非常常见的恶性肿瘤疾病之一，随着国内人们生活水平的不断提高，人们的饮食结构和生活习惯均呈现出明显的改变，国内人口老龄化趋势也加剧，这使得直肠癌的发病率和死亡率也呈现出逐年递增的趋势[1]。经济发展较快的城市患病人数一度上升至恶性肿瘤排行榜第二，仅次于肺癌[2]。患病后患者早起没有明显的临床病症，待疾病发展至一定程度，患者会出现不同程度的临床表现，集中在以下五个方面：第一：排便的性状出现改变，以大便变细、血便或是粘液便等；第二：大便的习惯改变；……