Clinical analysis on risk factors of the colostomy hernia after rectal cancer Miles operations
1.Department of Anorectal, Yiwu City Chinese Medicine Hospital, Jinhua, 322000; 2.Department of Tumor, Yiwu Central Hospital, Jinhua, 322000; 3.Department of Gastroenterology, the First People’s Hospital of Xiangshan, Ningbo, 315000
ZHU Deyi1,WANG Ting2,ZUO Wei3.?. Clinical analysis on risk factors of the colostomy hernia after rectal cancer Miles operations [J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2015, 45(5): 372-.
Abstract： Objective: To research the risk factors related to colostomy hernia’s occurrence after rectal cancer Miles operations and provide a basis for the prevention of occurrence of postoperative colostomy hernia. Methods: Retrospective analysis of the clinical data of the 118 patients who received rectal cancer Miles operations in our hospital from March 2005 to March 2008. The 15 possible influencing factors of the colostomy hernia were analyzed by single factor analysis and logistic regression analysis, then we conducted a 5 years’ follow-up. Results: Among these 15 possible related factors of colostomy hernia’s occurrence, smoking, body mass index (BMI), combined diabetes, colostomy liquefaction/infection, lower proteinemia, the selection of colostomy position, severe abdominal distention, urinary retention and severe cough were related to postoperative colostomy hernia’s occurrence (P<0.05). Logistic regression analysis showed that smoking, obesity, combined diabetes, colostomy liquefaction/infection, selection of colostomy position, severe abdominal distention and severe cough were significanly related with the colostomy hernia’s as dependent risk factors (P<0.05). Conclusion: There is a high incidence of colostomy hernia for rectal cancer Miles operation 5 years later. Smoking, BMI, combined diabetes, colostomy liquefaction/infection, selection of colostomy position, severe abdominal distention and severe cough are significantly related with the colostomy hernia’s as dependent risk factors.
