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目的 :探讨低位直肠癌行双吻合器保肛术后并发症的预防和治疗措施。方法 :1996年 6月至 2 0 0 1年 9月对 14 1例低位直肠癌用双吻合器法行保肛手术。结果 :吻合口瘘的发生率是 2 .13% (3/14 1)。其中 1996年至 1999年底吻合口瘘的发生率是 6 .0 6 % (2 /33) ,2 0 0 0～ 2 0 0 1年是 0 .93% (1/10 8)。仅有 3例吻合口狭窄。结论 :积极的预防是减少并发症发生的最简单有效的方法。并发症预防的主要措施 ;充分的肠道准备 ,良好的肠管血运 ,熟练运用双吻合器与正确放置引流管
Objective: To investigate the prevention and treatment of postoperative anal sphincter-preserving complications of low rectal cancer double stapler. Methods: June 1996 to September 2001 on 14 1 cases of low rectal cancer with double stapling method for anal sphincter preservation operation. Results: The incidence of anastomotic fistula was 2.13% (3/14 1). Among them, the incidence of anastomotic fistula from 1996 to 1999 was 6.06% (2/33), and 0.93% (1/10 8) in 2000-01. Only three cases had anastomotic stenosis. Conclusion: Proactive prevention is the simplest and most effective way to reduce the incidence of complications. The main measures to prevent complications; adequate bowel preparation, good bowel blood supply, skillful use of double staplers and the proper placement of drainage tube