目的 探讨直肠癌手术并发症相关因素。方法 133例结直肠癌患者根据术后30 d内是否发生手术相关并发症分为有并发症组(n=31)和无并发症组(n=102例),分析影响两组手术相关并发症的因素。结果 两组在年龄、有无内科合并症、手术时间、肿瘤分期方面存在差异(P＜0.05); 多因素 logistic 回归分析显示,内科合并症、手术时间、肿瘤分期是影响结直肠癌手术并发症的独立因素。结论 结直肠癌手术并发症发生率较高,应积极控制相关基础疾病,提高手术技巧以缩短手术时间。

Objective To study the factors associated with complications after surgery in patients with colorectal cancer.Methods A total of 133 patients with colorectal cancer were divided into complication group (n=31) and non-complication group (n=102) according to whether they had complications within 30 d after surgery.Relevant factors of complications in the two groups were analyzed.Results There were statistically significant differences between the two groups in age,medical complications,time of surgery,and neoplasm staging (P<0.05).The multiple logistic regression model indicated that medical complications,time of surgery,and neoplasm staging were the independent factors influencing the occurrence of surgical complications in patients with colorectal cancer.Conclusion The high incidence rate of surgical complications in patients with colorectal cancer indicates that it is very important to control related basic diseases before operation,improve operative skills so as to shorten operative time as much as possible.