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目的探讨Hartmann术后盆腔感染肛管减压中的治疗作用。方法回顾分析自2007年12月至2011年12月间我科直肠癌行Hartmann术式治疗的20例患者临床资料。结果 20例行Hartmann术治疗的直肠癌患者术后出现盆腔感染2例,指诊发现直肠残端瘘,均经直肠残端置引流管充分冲洗引流治愈出院。结论 Hartmann术后因直肠残端瘘致盆腔感染后,通过残端留置引流管持续有效冲洗引流,能够有效地治疗感染。
Objective To investigate the therapeutic effect of anal canal decompression after pelvic infection of Hartmann. Methods The clinical data of 20 patients undergoing Hartmann’s surgical treatment of rectal cancer in our department from December 2007 to December 2011 were retrospectively analyzed. Results Twenty patients with rectal cancer treated with Hartmann’s surgery were found to have pelvic infection after the operation. Rectal stump fistula was found in the fingerprints. All the patients were treated with drainage tube after rectal stump drainage. Conclusions After the pelvic infection caused by rectal stump fistula, Hartmann operation can effectively treat the infection by continuous effective drainage and drainage through the stump indwelling drainage tube.