摘要
目的：探讨低位直肠癌全直肠系膜切除术吻合口瘘的原因和防治措施。方法：回顾分析2004年1月-2007年7月我科76例低位直肠癌患者行全直肠系膜切除术的临床资料。结果：76例患者，术后发生吻合口瘘8例（10．5％），其中再次手术1例。结论：应用双吻合器技术使低位直肠癌保肛率增加。手术时间缩短，吻合牢固、可靠。发生吻合口瘘原因复杂，充分术前准备、正确使用吻合器、保证吻合口血运良好、加强术后管理是预防吻合口瘘的关键。
Objective：To observe the reason and prevention and treatment of whole mesenterectomy complicated by stoma- fistula in low - set rectal cancer. Methods： Retrospectively analysis 76 cases with low - set rectal cancer treated by whole mesenterectomy from 2004 January to 2007 July. Results： 8 cases complicated with stoma- fistula, account for 10.5 %. 1 case was operated two times. Conclusion：Application of double- stapler technique could increase keeping- anus rate, shorten operating time and firm stoma reliably. The reason of stoma-fistula is complicated. The keypoint to prevent stoma- fistula include： sufficient preoperative prepara- tion; applying staple correctly; keeping good blood supply of stoma; strengthening management postoperatively.
出处
《内蒙古医学杂志》
2009年第1期40-42,共3页
Inner Mongolia Medical Journal
