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目的总结结直肠癌伴糖尿病患者的围手术期处理经验。方法对我院2001~2009年期间手术治疗的37例结直肠癌伴糖尿病患者的临床资料进行回顾性分析。结果 37例患者均为2型糖尿病,行择期手术,术后发生切口感染7例(18.9%),吻合口漏1例(2.7%),骶前间隙积脓2例(5.4%),肺部感染4例(10.8%),泌尿系感染2例(5.4%),无酮症酸中毒发生。术后平均住院时间22 d,无围手术期死亡病例。结论结直肠癌伴糖尿病患者围手术期严格控制血糖,选择合理术式,应用有效抗生素、营养支持等治疗,可达到较满意的外科治疗效果。
Objective To summarize the experience of perioperative management of patients with colorectal cancer and diabetes mellitus. Methods The clinical data of 37 patients with diabetes mellitus and colorectal cancer who underwent surgery from 2001 to 2009 in our hospital were analyzed retrospectively. Results All the 37 patients were type 2 diabetes mellitus undergoing elective surgery. Incision infection occurred in 7 cases (18.9%), anastomotic leakage in 1 case (2.7%), presacral space empyema in 2 cases (5.4%), lung Infection in 4 cases (10.8%), urinary tract infection in 2 cases (5.4%), no ketoacidosis occurred. The average postoperative hospital stay was 22 days without perioperative deaths. Conclusion The patients with colorectal cancer and diabetes mellitus should control their blood glucose strictly during perioperative period. Choosing a reasonable surgical procedure and using effective antibiotics and nutrition support can achieve satisfactory surgical results.