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目的分析直肠癌手术中应用TME联合双吻合器技术与传统手工丝线吻合技术在吻合口瘘上的不同。方法由病例档案室提供1999年1月至2009年7月的直肠癌患者资料。选取肿瘤下缘距齿状线距离大于4 cm的资料。采用随机数字方法,从使用TME联合双吻合器的直肠癌患者中随机选取30名患者;再从采用丝线吻合的直肠癌患者中随机选取30名患者。结果使用吻合器组发生吻合口瘘的有1例,使用丝线吻合组有8例。结论吻合器吻合比丝线吻合在预防吻合口瘘上效果要好。
Objective To analyze the difference of anastomotic fistula between TME combined double stapler technique and traditional manual silk anastomosis technique in rectal cancer surgery. Methods The data of rectal cancer patients from January 1999 to July 2009 were provided by the case archives. Select the tumor margin from the dentate line distance greater than 4 cm of information. Thirty patients were randomly selected from patients with rectal cancer using a TME combined with a double stapler using a random number method. Thirty patients were randomly selected from rectal cancer patients with silk anastomosis. Results There was 1 case of anastomotic fistula using stapler, and 8 cases of silk anastomosis. Conclusion Stapler anastomosis than silk anastomosis in preventing fistula effect is better.