【摘要】 [目的]分析影响腹腔镜辅助直肠癌前切除术后发生吻合口狭窄的危险因素。[方法]收集行直肠癌根治术的108例患者的临床资料，采用单因素分析及Logistic多因素回归分析研究直肠癌术后发生吻合口狭窄的危险因素。[结果]单因素分析结果显示，新辅助放疗、预防性末端回肠造口、不保留左结肠血管、吻合口漏是直肠癌术后吻合口狭窄的相关因素，多因素分析结果显示，新辅助放疗和吻合口漏是术后吻合口狭窄的独立危险因素。[结论]对于术前接受放疗和术后发生吻合口漏的直肠癌手术患者应重点随访，预防吻合口狭窄的发生。更多还原

【Abstract】 [Objective]To evaluate risk factors for anastomotic stenosis after laparoscopic anterior resection in rectal cancer.[Methods]Clinical data of 108 patients who underwent radical resection for rectal cancer in the gastrointestinal department of tongling people’s hospital from January 2010 to January 2020 were collected; univariate analysis and Logistic multivariate regression analysis were used to study the risk factors of postoperative anastomotic stenosis in rectal cancer.[Results]A total of 108 patients were enrolled into the study, including 67 males and 41 females with a median age of 61.3 years, anastomotic stenosis occurred in 13 cases univariate analysis showed that neoadjuvant radiotherapy, prophylactic terminal ileostomy, no preservation of left colonic vessels, and anastomotic leakage were the related factors for postoperative anastomotic stenosis in rectal cancer.multivariate analysis showed that neoadjuvant radiotherapy and anastomotic leakage were independent risk factors for postoperative anastomotic stenosis.[Conclusion]For rectal cancer patients who received preoperative radiotherapy and had postoperative anastomotic leakage, the focus follow up is the important way to prevent the occurrence of anastomotic stenosis.更多还原