摘要
目的探讨直肠癌全直肠系膜切除术(TME)后吻合口瘘发生的原因、预防及处理方法。方法对我院2004年6月～2008年6月150例中低位直肠癌行全直肠系膜切除术(TME)的临床资料进行回顾性分析。结果150例直肠癌中19例发生吻合口瘘,发生率为12.7%,15例经保守治疗治愈,4例手术治疗治愈。结论吻合口瘘是中低位直肠癌前切除术后常见的并发症,通过术前调整个人的营养状况、良好的肠道准备、术中严格的操作、术后保持骶前引流通畅等能降低吻合口瘘的发生。对吻合口瘘的患者以保守治疗为主大多能治愈,若保守治疗无效,则选择合适时机行结肠造口以转流粪便,待瘘口封闭后再次手术还纳造口。
Objective To investigate the cause,prevention and treatment of anastomotic leakage following total meaorectal excision（TME） in rectal cancer. Methods A retrospective analysis was made of clinical data of TME of 150 cases of low rectum cancer in our hospital from June 2004 to June 2008. Results Of all 150 cases,anastomotic leakage occurred in 19 cases,with the occurrence rate of 12.7%, 15 cases were cured by non-surgery treatment and 4 cases were cured by surgery. Conclusion Anastomotic leakage in low rectal cancer is a common complication after low anterior resection,caused by multiple factors. Most cases of anastomotic leakage are able to be cured by using conservative treatment,and if the conservative treatment fails,then select the appropriate time to carry out colostomy for faeces and no stoma returns until the fistula is closed.
出处
《中国现代医生》
2010年第7期16-18,共3页
China Modern Doctor
关键词
直肠癌
全直肠系膜切除术
吻合口瘘
Rectal cancer
Total meaorectal excision
Anastomotic leakage
