四川医学2011，Vol.32Issue(7)：1089-1091,3.
直肠癌保肛术后吻合口瘘的影响因素及其防治
Risk factors and treatment of anastomotic leakage after anus-preserving operation for rectal cancer
刘太平 1赵汗青 1李鸿 1张祺 1祝春雷1
作者信息
- 1. 都江堰市人民医院普外科,四川都江堰611830
- 折叠
摘要
Abstract
Objective To discuss the causes and treatment of anastomotic leakage after radical resection for rectal cancer and preservation of anal sphincter.Methods The clinical data of 112 rectal cancer patients in our hospital, undergone sphincter preserving procedures from Jan.2004 to Jan.2011, were analyzed retrospectively.Results Postoperative anastomotic leakage occurred in 9 cases of 112 patients,the occurrence rate about 8％ ,which 2 cases were cured after re-operation,7 cases were cured by non-surgical treatment.Conclusion There are many factors in the happening of anastomotic leakage after the anus-preserving operation for rectal cancer.Local irrigation drainage via drainage tube with TPN supplement, and transverse colon or terminal ileum ostomy is the main methods of anastomotic leakage treatment.Early diagnosis, early treatment, most patients can be cured.Sufficient preoperative preparation, proper attention to the blood supply and tension of the anastomosis, rational use of the staple, manual staple-line reinforce after stapled anastomosis will minimize the occurrence of anastomotic leakage.关键词
直肠癌/保肛手术/吻合口瘘Key words
rectal cancer/ sphincter preserving surgery/ anastomotic leakage分类
医药卫生引用本文复制引用
刘太平,赵汗青,李鸿,张祺,祝春雷..直肠癌保肛术后吻合口瘘的影响因素及其防治[J].四川医学,2011,32(7):1089-1091,3.
