目的:探讨直肠癌Miles术后会阴部伤口愈合缓慢的影响因素.方法:回顾性分析210例经病理诊断明确且行Miles术的直肠癌患者临床资料,分析可能影响Miles术后切口愈合不良的因素,包括:性别、年龄、术前营养状态、术中盆腔腹膜修复与否、术前放疗以及术前、术后是否行高压氧治疗等.结果:直肠癌Miles术后切口Ⅰ期愈合率在性别、年龄、术前营养状态以及术中盆腔腹膜修复与否间差异均无统计学意义(P>0.05),患者术前放疗切口Ⅰ期愈合率明显低于术前未行放疗者(P0. 05). The difference of the primary healing rate of incision in patients with preoperative radiotherapy was significant lower than that in patients without preoperative radiotherapy(P<0. 01),and the difference of the primary healing rate of incision in patients with preoperative and postoperative hyperbaric oxygen therapy was significant higher than that in patients without preoperative and postoperative hyperbaric oxygen therapy(P<0. 05). Conclusions:Conclusions:After Miles operation of rectal cancer,the preoperative radiotherapy can delay the primary healing of incision,the preoperative and postoperative hyperbaric oxygen therapy can promote the primary healing of incision,and the hyperbaric oxygen therapy can be used to prevent the poor wound healing.
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