摘要
目的:探讨直肠癌双吻合器保肛手术后吻合口瘘的发生率、危险因素和治疗方法。方法:317例直肠癌行双吻合器手术,对术后资料进行回顾性统计分析。结果:年龄、肿瘤距肛缘距离、糖尿病、术前低蛋白、术前合并肠梗阻、切口感染等与吻合口瘘的发生密切相关,而性别与吻合口瘘的发生无关。结论:吻合口瘘是直肠癌双吻合器保肛手术后一种常见并发症,低位直肠癌行保肛手术增加吻合口瘘发生率,大部分吻合口瘘经单纯引流管冲洗可治愈,少数病例需行剖腹探查肠造瘘术。
Objective To investigate the incidence,risk factor and treatment of anastomotic leakage after anus-preserving for rectal carcinoma.Method Three hundred and seventeen patients with rectal cancers underwent anus-preserving for rectal carcinoma with stapling technique,and the postoperative data were analyzed retrospectively.Results Age,distance of tumor from anal verge,diabetes,low albumen,rectal carcinoma with intestinal obstruction,and incision infection were related to the anastomotic leakage,while sex was not related to leakage.Conclusion Anastomotic leakage is one of the commonest complications after anus-preserving operation for rectal carcinoma and low rectal cancers will have higher anastomotic leakage rate.The majority of anastomotic leakage can be treated successfully by drainage tube irrigation alone,laparotomy and proximal colostomy are necessary for a few cases.We suggest giving patients enteral nutrition after anastomotic leakage as early as possible.
出处
《吉林医学》
CAS
2007年第11期1274-1275,共2页
Jilin Medical Journal
关键词
直肠肿瘤
并发症
瘘
Rectal carcinoma
Complication
Anastomotic leakage
