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目的 提高中下段直肠癌患者Dixon手术治疗成功率 ,预防和治疗吻合口瘘。方法 五年收治直肠癌 2 35例 ,采用Dixon手术治疗 12 0例 ,发生吻合口瘘 6例。结果 6例吻合口瘘者 5例经引流管引流局部冲洗痊愈 ,1例行骶前引流痊愈。结论 采用Dixon术时应注意吻合口血供、张力大小及吻合技术等 ,避免吻合口瘘发生 ;如发生吻合口瘘 ,应及时准确判断瘘口大小 ,采取相应措施以达治愈目的
Objective To improve the success rate of Dixon surgery in the middle and lower rectal cancer patients and to prevent and treat the anastomotic fistula. Methods Two hundred and fifty-five cases of rectal cancer were treated with Dixon operation, 120 cases of anastomotic fistula occurred. Results 6 cases of anastomotic leakage in 5 cases were drained drainage tube local irrigation and cure, 1 case of presacral drainage healed. Conclusion Dixon operation should pay attention to the anastomosis blood supply, tension and anastomosis techniques to avoid the occurrence of anastomotic leakage; such as the occurrence of anastomotic leakage should be promptly and accurately determine the size of the fistula and take appropriate measures to achieve the purpose of cure