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直肠癌保肛术后吻合口漏的影响因素分析

何纯刚 黄沁园 吴鸿根 邓洪强 吴东波 潘云

结直肠肛门外科2012,Vol.18Issue(4):219-222,4.
结直肠肛门外科2012,Vol.18Issue(4):219-222,4.

直肠癌保肛术后吻合口漏的影响因素分析

The causes of anastomotic leakage after preserving anal sphincter operation for rectal cancer

何纯刚 1黄沁园 2吴鸿根 1邓洪强 1吴东波 1潘云1

作者信息

  • 1. 广西壮族自治区人民医院,广西南宁,530021
  • 2. 广西医科大学护理学院,广西南宁,530021
  • 折叠

摘要

Abstract

Objective To explore the causes and experiences of prevention and management for anastomotic leakage after preserving anal sphincter operation for rectal cancer. Methods 301 patients received operation of preserve anal sphincter between March, 2002and March, 2008 were analyzed retrospectively. Results Of 301 patients ,26(8. 6%)with 14 men and 12 women developed anastomotic leakage, the mean age is 56 years old . In this group , there were significant statistic differences between anastomotic leakage and combining ileus before operation , the distance from anal verge ,pathologic type, lymph nodes metastasis and duration of operation, while there were no significant statistic differences between anastomotic leakage and sex ,age ,combining diabetes, low albumin before operation,anastomose method , whether or not stapled , deposit anal tube , rough pathology. Conclusion Pay attention to every link of the treatment for rectal cancer is the key point to preserve anastomotic leakage.

关键词

直肠癌/保肛手术/吻合口漏/原因分析

Key words

Rectal/Preserving anal sphincter operation/Anastomotic leakage

分类

医药卫生

引用本文复制引用

何纯刚,黄沁园,吴鸿根,邓洪强,吴东波,潘云..直肠癌保肛术后吻合口漏的影响因素分析[J].结直肠肛门外科,2012,18(4):219-222,4.

结直肠肛门外科

OACSTPCD

1674-0491

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