摘要
目的探讨CT检查在直肠癌全系膜切除(total mesorectal excision,TME)低位保肛术后复查中的应用价值。方法对2009年5月至2010年5月期间在我院接受TME低位保肛术的直肠癌患者行CT复查,分析术后直肠吻合口漏和周围感染、吻合口周围复发、淋巴结转移情况。结果 共计82例TME术后患者纳入研究,其中男52例,女30例;年龄25～74岁,平均57.8岁。82例患者中术后平均随访10个月,随访期间出现吻合口漏8例(9.8%),吻合口肿瘤局部复发6例(7.3%),盆腔及远处淋巴结转移4例(4.9%)。吻合口漏经引流和保守治疗后好转,局部复发和淋巴结转移得到病理证实。结论 TME低位保肛术后适时CT检查(包括基线CT检查、随访和复查),有助于对吻合口漏、肿瘤局部复发及淋巴结转移的发现与早期诊断。
Objective To investigate the value of postoperative CT examination for evaluation of local complications in patients with low rectal carcinoma after total mesorectal excision with anal sphincter preservation.Methods The patients with low rectal carcinoma who received total mesorectal excision（TME） with anal sphincter preservation were examined using contrast-enhanced CT in one year period from May 2009 to May 2010.Particular attention was paid to the presence of anastomotic leakage,local recurrence and status of lymph nodes.Results Total of 82 patients（52 men,30 women;mean age 57.8 years old;range 25-74 years old） were included in the study.Over a mean 10-month follow-up,8 cases（9.8%） had clinically or surgically confirmed anastomotic leak,6 cases（7.3%） had local recurrence around the anastomotic site,and 4 cases（4.9%） showed pelvic and distant metastatic lymphadenopathy.Conclusion Postoperative CT examination,including baseline and follow-up CT studies,is very useful for diagnosing anastomotic leakage,local tumor recurrence and lymphadenopathy.
出处
《中国普外基础与临床杂志》
CAS
2011年第11期1227-1230,共4页
Chinese Journal of Bases and Clinics In General Surgery
