摘要
目的探讨低位直肠癌双吻合器吻合吻合口瘘发生的原因、预防及处理方法。方法回顾性分析我院2000年6月至2005年12月应用双吻合器进行D ixon术的86例病例的临床资料。结果12例发生吻合口瘘,7例经保守治疗治愈,5例手术治疗治愈。2例出现吻合口狭窄,排便不畅,经定期扩肛而治愈。结论吻合口瘘是低位直肠癌双吻合器前切除术后常见的并发症,小的瘘口可经保守治疗治愈,大的瘘口则需结肠造口以转流粪便,待瘘口封闭后再次手术还纳造口。
Objective To investigate the causes, prevention and treatments of anastomotic fistula in low anterior resection with double - stapling technique. Methods Eighty - six cases were subjected to low anterior resction with double - stapling technique from June 2000 to December 2005 in our hospital. The clinical data were analyzed retrospectively. Result Anastomotic fistula appeared in 12 cases. Seven cases were cured through non - surgical treatment, and 5 cases were cured surgically. Anastomotic stenosis happened in 2 cases which were cured by extending anus regularly. Conclusion Anastomotic fistula was the common complication in low anterior resction with double - stapling technique. The small fistula can be cured by non - surgical treatment, but the large one must be operated on.
出处
《临床外科杂志》
2008年第8期521-523,共3页
Journal of Clinical Surgery
关键词
直肠癌
吻合口漏
双吻合器
rectal cancer
anastomotic fistula
double- stapling technique
