论文部分内容阅读
目的探讨直肠癌双吻合器保肛术后预防吻合口漏的措施。方法回顾性分析2006年1月至2009年7月期间在我院行Dixon术的358例直肠癌患者的临床资料。结果本组病例均一次吻合成功,术后出现吻合口漏30例(8.4%),多发生在术后5～10d,均经非手术综合性措施治疗后漏口愈合,愈合时间14～60d,中位时间37d。结论术前一般状况调整、术中严密操作、正确的引流管放置与灌洗引流、营养支持等综合性措施对低位直肠癌Dixon术后吻合口漏的防治效果较好。
Objective To investigate the measures of preventing anastomotic leakage after double-stapler operation of rectal cancer with anal sphincter preservation. Methods The clinical data of 358 patients with rectal cancer undergoing Dixon surgery in our hospital from January 2006 to July 2009 were analyzed retrospectively. Results The patients were successfully anastomosed at one time. There were 30 cases (8.4%) of anastomotic leakage occurred after operation, mostly occurred 5 to 10 days after operation. All cases were treated by non-surgical comprehensive treatment. The healing time was 14 to 60 days, The median time 37d. Conclusion Preoperative general condition adjustment, intraoperative rigorous operation, proper drainage tube placement and lavage drainage, nutritional support and other comprehensive measures of low rectal cancer Dixon postoperative anastomotic leakage prevention and treatment is better.