论文部分内容阅读
目的探讨直肠癌Dixon术后发生吻合口瘘的防治措施。方法回顾性分析105例直肠癌行Dixon术患者的临床资料。结果9例患者术后发生吻合口瘘,8例经骶前引流局部冲洗,全胃肠外营养痊愈,1例行横结肠造瘘术后治愈。结论吻合口瘘是直肠癌Dixon术后常见并发症,术中注意吻合口的位置、血运、张力、吻合技术以及术后有效引流等措施可减少吻合口瘘的发生,大部分吻合口瘘经单纯引流冲洗是可以治愈的。
Objective To investigate the prevention and treatment of anastomotic leakage after Dixon operation for rectal cancer. Methods The clinical data of 105 patients with rectal cancer undergoing Dixon surgery were retrospectively analyzed. Results Anastomotic leakage occurred in 9 cases, 8 cases were treated with local drainage before the fistula, total parenteral nutrition was healed, and 1 case was cured with transverse colostomy. Conclusion Anastomotic fistula is a common complication of postoperative Dixon rectal cancer. The position of anastomosis, blood supply, tension, anastomosis and effective drainage after operation can reduce the incidence of anastomotic leakage. Drainage alone is curable.