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目的:探讨直肠癌根治术中骶前静脉丛大出血的常见原因和防治方法。方法:术中发生骶前静脉丛大出血5例,分别采取图钉钉压、碘仿纱条填塞止血。结果:全部病例止血成功并痊愈出院。结论:手术操作不当是导致术中骶前静脉丛大出血的主要原因,实行全直肠系膜切除(TME)是预防骶前静脉丛破裂大出血的关键,图钉钉压和碘仿纱条填塞是治疗术中骶前静脉丛大出血的有效方法。
Objective: To investigate the common causes and prevention and treatment of hemorrhage of presacral venous plexus in radical resection of rectal cancer. Methods: Intraoperative sacral venous plexus hemorrhage occurred in 5 cases, respectively, to take the thumb nail pressure, iodoform gauze to stop bleeding. Results: All patients were successfully healed and discharged. Conclusions: The improper operation is the main cause of hemorrhage in presacral venous plexus during operation. The implementation of total mesorectal excision (TME) is the key to prevent hemorrhage of presacral venous plexus rupture. Sacral venous plexus effective method of bleeding.