中国社区医师Issue(34)：50-51,2.DOI:10.3969/j.issn.1007-614x.2014.34.29
低位直肠癌术后吻合口瘘17例原因分析及治疗
Cause analysis and treatment of 17 cases of low rectal cancer postoperative anastomotic fistula
摘要
Abstract
Objective:To analyze the cause,prevention and treatment of low rectal cancer postoperative anastomotic fistula. Methods:17 cases of patients with low rectal cancer postoperative anastomotic fistula from 2008 to 2013.Results:The incidence rate of postoperative anastomotic fistula was 5.6%.The average time of fistula occurred was 6.1 days.In addition to already known at blood supply,tension and infection factors of anastomosis caused anastomotic fistula,this group of cases showed that older men pelvic stenosis,adverse systemic condition caused anastomotic fistula in 6 cases;preoperative chemoradiotherapy caused anastomotic fistula in 4 cases;diabetes mellitus caused anastomotic fistula in 3 cases;the inferior margin of the tumor from the anal edge was less than 6 cm in 2 cases;manual anastomose caused anastomotic fistula in 2 cases.15 cases(88%) were conservative treatment after postoperative anastomotic fistula;2 cases(12%) were reoperation.17 patients with postoperative anastomotic fistula were cured and discharged.Conclusion:The gender,preoperative chemoradiotherapy,diabetes,the inferior margin of the tumor from the anal edge less than 6 cm and manual anastomose are risk factors of anastomotic fistula after low rectal cancer resection. According to local inflammation after anastomotic fistula,whether general condition and double pipe flushing drainage unblocked choose conservative treatment or repeated operation treatment,most patients can be cured by conservative treatment.关键词
直肠癌/吻合口瘘/原因分析/治疗Key words
Rectal cancer/Anastomotic fistula/Cause analysis/Treatment引用本文复制引用
庄永忠..低位直肠癌术后吻合口瘘17例原因分析及治疗[J].中国社区医师,2014,(34):50-51,2.
