ABSTRACT
Objective@#To investigate the situation and influencing factors of bowel cleansing in patients before colonoscopy, and to provide reference for guiding patients′ bowel preparation.@*Methods@#The clinical data of 421 patients undergoing electronic colonoscopy in the endoscopy center of the second people′s hospital of Lu′an city in Anhui Province from April to September 2018, Prospective collection by systematic sampling, including general data of patients, clinical data of bowel preparation and score of Boston bowel preparation scale. Univariate analysis and logistic regression analysis were performed on the relevant factors of bowel preparation.@*Results@#Among the 421 patients, 52 cases were not eligible for intestinal cleaning, and the unqualified rate was 12.35%(52/421). Logistic regression analysis showed that: Total amount of drinking water prepared for intestinal tract before colonoscopy (OR=1.674, P=0.018),The total times of defecations after taking the drug (OR=1.270, P=0.014), the characteristics of last stool before colonoscopy (OR=2.211, P=0.042), the diet the day before colonoscopy (OR=0.553, P=0.006) , body mass index (OR=1.111, P=0.042), and intestinal diseases (P=0.022), were all intestinal clearance independent influencing factors of cleaning effect; While took laxative type (mannitol/PEG), drunk water speed (within 3 hours), first defecation time, the site of drinking bowel-clearing drugs, daily activity, none of the above factors affected the bowel preparation effect (P>0.05) .@*Conclusion@#Before colonoscopy, there were many factors affecting the cleaning effect of the intestine. The total water intake of intestinal preparation was less than 2 000 ml, the total number of defecation after taking medicine was less than 5 times, the last defecation contained residue, the day before the examination was strictly fasting, the body mass index was less than 18.5 kg/m2, and colitis, enterelcosis and occupying lesion are independent risk factors for intestinal cleaning. Attention should be paid to the comfort care and guidance of intestinal preparation, and prospective intervention can effectively improve the cleaning effect of intestinal tract.
ABSTRACT
Objective To investigate the clinical effect of the radial rectectomy with total mesorectal excision ih rectal cancer patients. Methods 42 cases with rectal cancer received total mesorectal excision were analyzed retrospectively. Results All 42 cases were performed with radial excision successfully,36 cases by stapling device. 3 cases of leak of anastomosis was happened after operation, one case treated with ostomy, the other two cases through drainage and better nutrition were cured. Assistant chemotherapy and radiotherapy were given to the patients. All patientswere followed up for 6 ～ 36 months, 2 cases with local tumor recurrence, liver metastasis 1 case.Conclusion The mesorectectomy excision could prevent the local recurrence after the operation of rectal carcinoma.It was effective to improve the patients'life quality.