结直肠癌患者术后并发症的影响因素分析

Abstract: Objective To analyze the influencing factors of postoperative complications in patients with colorectal cancer. Methods From January 2023 to December 2024, colorectal cancer admitted to our hospital were collected. Based on whether the patients developed complications after surgery or not, they were divided into the complication group (n＝84) and the control group (n＝121). The main types of postoperative complications in colorectal cancer patients were observed, and the main clinical characteristics of the two groups were compared to analyze the risk factors for postoperative complications in colorectal cancer patients. Results Compared with the control group, the incidence of diabetes in the complication group was significantly higher (14.29% vs. 3.31%, P＜0.05). The peripheral invasion rate significantly increased (25.00% vs. 11.57%, P＜0.05). The anemia rate significantly increased (38.10% vs. 13.22%, P＜0.05). The incidence of intestinal obstruction significantly increased (35.71% vs. 10.74%, P＜0.05). The albumin level significantly decreased [(34.09±3.10)g/L vs. (36.29±3.19)g/L, P＜0.05)]. Diabetes, peripheral invasion, anemia and intestinal obstruction were the risk factors for postoperative complications of colorectal cancer patients, the risk ratios were 5.451 (95% confidence interval: 1.415～21.004), 2.829 (95% confidence interval: 1.141～7.014), 4.843 (95% confidence interval: 2.190～10.707) and 6.387 (95% confidence interval: 2.757～14.798), respectively. Albumin was a protective factor for postoperative complications of colorectal cancer patients, and the risk ratio was 0.825 (95% confidence interval: 0.739～0.920). Compared with the control group, the reoperation rate of patients in the complication group was significantly increased (7.14% vs. 0.00%, P＜0.05). Conclusion The incidence of postoperative complications in patients with colorectal cancer is relatively high. Early intervention should be targeted at relevant risk factors to reduce the risk of postoperative complications.