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手术并发症对溃疡性结肠炎相关性结直肠癌10例预后影响研究

孙曦羽 李骥 李景南 吴斌

中国实用内科杂志2018,Vol.38Issue(3):231-235,5.
中国实用内科杂志2018,Vol.38Issue(3):231-235,5.DOI:10.19538/j.nk2018030114

手术并发症对溃疡性结肠炎相关性结直肠癌10例预后影响研究

The effect of surgical complications on the prognosis of patients with ulcerative colitis-related colorectal cancer.

孙曦羽 1李骥 2李景南 2吴斌1

作者信息

  • 1. 中国医学科学院 北京协和医学院 北京协和医院,基本外科,北京 100730
  • 2. 中国医学科学院 北京协和医学院 北京协和医院,消化内科,北京 100730
  • 折叠

摘要

Abstract

Objective To investigate the effect of surgical complications on the prognosis of ulcerative colitis-related colorectcal cancer. Methods A total of 23 patients who underwent surgery in our department (2003-2016) for ulcerative colitis-related colorectal cancer were included in this analysis. The characteristics between surgical complications group and non-surgical complications group were compared in the aspects of preoperative medication, surgical complications, surgical methods, and postoperative hospitalization time of patients. Results Complications appears in 10 patients (surgical complications group), while 13 cases are with no complications (non-surgical complications group). There is no statistically significant difference in the perspective of gender, ulcerative colitis diagnosis age, operation age, scope of lesions, smoking, family history of inflammatory bowel disease or cancer, abdominal surgery history, tumor location, mass number, tumor stage and surgical method (all P>0.05). No evident difference is demonstrated in preoperative hemoglobin, albumin level, the application of 5ASA, glucocorticoid and immunosuppressant, as well as the number of complications, the release time (P>0.05). However, postoperative median hospitalization time [18(11. 25, 36. 25)] in surgical complications group was obviously longer than that of non-surgical complications group [9(7, 19)] P= 0.007. Conclution Surgical complications in patients with ulcerative colitis-relate colorectal cancer may prolong hospitalization days after surgery.

关键词

溃疡性结肠炎/结直肠癌/溃疡性结肠炎相关结直肠癌/手术

Key words

ulcerative colitis/colorectal cancer/ulcerative colitis-relate colorectal cancer/surgery

分类

医药卫生

引用本文复制引用

孙曦羽,李骥,李景南,吴斌..手术并发症对溃疡性结肠炎相关性结直肠癌10例预后影响研究[J].中国实用内科杂志,2018,38(3):231-235,5.

中国实用内科杂志

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