大肠癌术后便秘临床分析

Retrospective analysis of postoperative constipation in colorectal cancer patients

摘要:

目的 探讨大肠癌术后便秘的发生率与手术部位及手术方式的关系。方法 回顾性分析2004年6月～2005 年7月行结肠镜检查的132例大肠癌术后患者，对随访结果进行分析和总结。结果 右半结肠根治术、左半结肠根治术、乙状结肠癌根治术、直肠癌根治术患者术后便秘发生率分别为4.00%、6.25%、11.11%及32.88%；其中高位、低位、超低位直肠癌患者术后便秘发生率分别为20.00%、26.32%、41.03%（P <0.05）；大内径吻合器与小口径吻合器吻合的患者术后便秘发生率分别为28.57%和35.56%（P <0.05）。结论 大肠癌患者中术后发生便秘的主要为直肠癌患者，且原发肿瘤距离肛门越近便秘发生率越高；使用小内径吻合器的患者术后便秘发生率也较高。

Abstract:

【Objective】 To investigate the relationship between the incidence of postoperative constipation and the operation site and operation mode for colorectal cancer. 【Methods】 The data of 132 cases, who received colonoscopy after surgery for colorectal cancer from June 2004 to July 2005, were retrospectively analyzed. 【Results】 The postoperative constipation rates of radical right hemicolectomy, radical left hemicolectomy, radical sigmoidectomy and rectal anterior resection were 4.00%, 6.25%, 11.11% and 32.88%, respectively. The postoperative constipation rates of upper-site group, lower-site group and ultralower-site group were 20.00%, 26.32% and 41.03%, respectively (P ＜0.05).The postoperative constipation rates of large-size anastomat group and small-size anastomat group were 28.57% and 35.56%, respectively (P <0.05). 【Conclusion】 Postoperative constipation mainly appears in the patients with rectal cancer, especially in those with ultralower-site rectal cancer. The constipation rate is higher in small-size anastomat group than in large-size anastomat group.