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目的探讨直肠癌根治术后吻合口出血的病因及防治。方法回顾性分析行直肠癌根治术后出现吻合口出血的6例直肠癌患者临床资料。结果 6例直肠癌患者吻合口出血均发生在术后2d内,其中2例为常规开腹手术,4例为腹腔镜手术。肿瘤大小3-6cm,肿瘤距肛缘5-15cm。6例患者均采用保守治疗,未再行二次手术处理,其中2例患者出现吻合口瘘。结论明确吻合口出血原因,选择合适的治疗方式,吻合口出血的预防较治疗更为重要。
Objective To investigate the etiology and prevention and treatment of anastomotic bleeding after radical resection of rectal cancer. Methods The clinical data of 6 patients with rectal cancer who had anastomotic bleeding after radical operation of rectal cancer were retrospectively analyzed. Results Anastomotic bleeding in 6 cases of rectal cancer occurred within 2 days after operation, of which 2 cases were conventional laparotomy and 4 cases were laparoscopic surgery. Tumor size 3-6cm, the tumor from the anal edge 5-15cm. Six patients were treated conservatively, and no second surgical treatment, including two cases of anastomotic fistula. Conclusions A clear anastomotic bleeding causes, select the appropriate treatment, anastomotic bleeding prevention is more important than the treatment.