摘要
目的:探讨直肠癌Dixon术后吻合口瘘发生的危险因素及对应的预防和治疗措施。方法:将笔者所在医院收治的96例需要进行直肠癌Dixon术的患者随机分为试验组和对照组,对照组给予常规手术治疗,试验组在此基础上增加吻合口瘘的预防措施,比较不同组别及不同年龄、性别、全身状况术后吻合口瘘的发生率。结果:吻合口瘘发生率对照组高于试验组;男性高于女性;老年人高于非老年人;全身状况较差的高于全身状况好的,差异均有统计学意义(P<0.05)。结论:男性、高龄、全身状况较差、吻合口缺血、吻合口张力过高、肠道准备不完善等是术后吻合口瘘发生的危险因素,而改善全身状况、良好的吻合、充分的肠道准备、预防性造口、经会阴骶前引流等措施可以降低吻合口瘘发生率。
Objective ：To explore the risk factors of anastomotic leakage after Dixon surgery and corresponding prevent and treating measures. Methods ：96 patients needed Dixon surgery for rectal cancer in our hospital were randomly divided into experimental group and control group.Both groups received general surgery, while the experimental group was given prevention measures of anastomotic leakage in addition.Compare the incidence of anastomotie leakage between two groups, different age, sex, general condition.Results ：Anastomotic leakage rate of the control group was significantly higher than the experimental group, the male patients were significantly higher than the female patients, elder patients were significantly higher than the non-elder patients and patients in poor general condition was significantly higher than the patients in good general condition（P〈0.05）.Conclusion ：Male sex, senior citizens, the poor condition, anastomotic ischemia, high anastomotic tension, incomplete bowel preparation are risk factors for anastomotic leakage.Improving the general condition, good anastomosis, thorough intestinal preparation, preventive colostomy, perineal drainage and other measures can reduce the incidence of anastomotic leak.
出处
《中外医学研究》
2012年第27期19-20,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
直肠癌
DIXON术
吻合口瘘
危险因素
Rectal cancer
Dixon surgery
Anastomotic leakage
Risk factors
