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目的通过对59例低位直肠癌保肛手术后吻合口漏的回顾性分析,总结其临床表现及治疗方法。方法回顾总结分析58例吻合口漏的不同治疗方法,比较完全静脉营养和胃肠内营养(静脉营养+胃肠内营养)的吻合口漏的愈合时间。结果术后吻合口漏愈合的平均时间为14.6d,静脉营养组15.2d,胃肠内营养13.9d,静脉营养+胃肠内营养15.1d。结论直肠癌保肛手术后吻合口漏大部分可保守治疗痊愈,而胃肠内营养和静脉营养+胃肠内营养具有费用低,操作简便,可作为保守治疗的另一有效途径。
Objective To retrospectively analyze the clinical manifestations and treatment of anastomotic leakage in 59 cases of rectal cancer after anal sphincter preservation surgery. Methods A retrospective analysis of 58 cases of anastomotic leakage of different treatment methods, complete parenteral nutrition and gastrointestinal nutrition (parenteral nutrition + gastrointestinal nutrition) anastomotic leakage healing time. Results The average time for anastomotic leakage was 14.6 days after operation, 15.2 days in intravenous nutrition group, 13.9 days in gastrointestinal nutrition group and 15.1 days in intravenous nutrition group and gastrointestinal nutrition group. Conclusion Most of anastomotic leakage after anal sphincter preserving surgery can be cured by conservative treatment. However, gastrointestinal and parenteral nutrition and gastrointestinal nutrition have the advantages of low cost and simple operation, which can be used as another effective way of conservative treatment.