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目的研究分析直肠癌外科手术治疗的方法和并发症防治措施。方法回顾性分析76例直肠癌患者外科手术的治疗情况。41例(53.9%)行Miles手术治疗,18例(23.7%)行双吻合器吻合治疗,8例(10.5%)行手术缝合治疗,9例(11.8%)行姑息性手术治疗。结果 76例患者中74例(97.4%)患者治愈出院,2例(2.6%)患者死亡,分别为肺内感染死亡和多器官衰竭死亡。19例(25.0%)患者手术治疗之后发生并发症。并发症主要是骶前出血、吻合口漏、吻合口狭窄、尿滞留、吻合口大出血以及肠梗阻。结论直肠癌患者手术治疗的过程中,更应该依据于患者肿瘤的部位和恶性程度,将梗阻解除,并对肿瘤进行切除,对手术适应证严格的掌握,并合理的选择手术方式,对手术技巧改进,做好并发症的预防和有效治疗。
Objective To study the methods of surgical treatment of rectal cancer and the prevention and treatment of complications. Methods Retrospective analysis of surgical treatment of 76 cases of rectal cancer patients. Miles operation was performed in 41 cases (53.9%), double stapling anastomosis in 18 cases (23.7%), surgical suture in 8 cases (10.5%) and palliative surgery in 9 cases (11.8%). Results Of the 76 patients, 74 (97.4%) patients were cured and discharged and 2 (2.6%) patients died of pulmonary infection and multiple organ failure. Nineteen (25.0%) patients had complications after surgery. Complications mainly sacral hemorrhage, anastomotic leakage, anastomotic stenosis, urinary retention, anastomotic bleeding and intestinal obstruction. Conclusion The surgical treatment of patients with rectal cancer, but also should be based on the location of the patient’s tumor and the degree of malignancy, the obstruction to be removed, and the tumor resected, strict indications of surgical indications, and a reasonable choice of surgical approach to surgical techniques Improve, do a good job in the prevention and effective treatment of complications.