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不同内脏脂肪面积结直肠癌患者手术效果、并发症及预后比较

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目的 研究不同内脏脂肪面积(VFA)结直肠癌患者手术效果、并发症及预后的影响.方法 选取 2021 年 1 月-2022 年 6月在我院诊治的 60 例结直肠癌患者为研究对象,依据VFA分为研究组(VFA≥100 cm2)(n=23)和对照组(VFA<100 cm2)(n=37),比较两组临床手术指标(手术时间、术中出血量、术后排气时间、住院时间)、手术效果(中转开腹比例、术中淋巴结清扫数目)、并发症发生率、近期预后情况(总生存期和无病生存期).结果 研究组手术时间、术中出血量、术后排气时间、住院时间均大于对照组(P<0.05);研究组中转开腹比例与对照组比较,差异无统计学意义(P>0.05),研究组术中淋巴结清扫数目小于对照组(P<0.05);研究组并发症发生率为 26.09%,高于对照组的 8.11%(P<0.05);随访 1 年,研究组总生存期、无病生存期均小于对照组(P<0.05).结论 不同VFA结直肠癌患者手术效果、临床手术指标存在差异,且可能增加并发症发生风险,影响临床预后.
Comparison of Surgical Effects,Complications and Prognosis of Colorectal Cancer Patients with Different Visceral Fat Area
Objective To study the effect of different visceral fat area(VFA)on the surgical effect,complications and prognosis of colorectal cancer patients.Methods A total of 60 patients with colorectal cancer diagnosed and treated in our hospital from January 2021 to June 2022 were selected as the research objects.According to VFA,they were divided into study group(VFA≥100 cm2)(n=23)and control group(VFA<100 cm2)(n=37).The clinical operation indexes(operation time,intraoperative blood loss,postoperative exhaust time,hospitalization time),operation effect(conversion rate,number of lymph node dissection),complication rate and short-term prognosis(overall survival and disease-free survival)were compared between the two groups.Results The operation time,intraoperative blood loss,postoperative exhaust time and hospitalization time in the study group were higher than those in the control group(P<0.05).The number of lymph node dissection in the study group was less than that in the control group(P<0.05).The incidence of complications in the study group was 26.09%,which was higher than 8.11%in the control group(P<0.05).After 1 year of follow-up,the total survival time and disease-free survival time in study group were lower than those in the control group(P<0.05).Conclusion There are differences in surgical results and clinical surgical indicators in patients with colorectal cancer with different VFA,which may increase the risk of complications and affect the clinical prognosis.

Visceral fat areaColorectal cancerComplicationsSurvival

王林财、宋晨、王锦红

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万载县人民医院普外科,江西 万载 336100

内脏脂肪面积 结直肠癌 并发症 生存期

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(24)