摘要
[目的]研究超低位直肠癌(rectal cancer,RC)使用双吻合器技术(double stapling technique,DST)在低位保肛手术(sphinctersparing operation,SSO)中的价值。[方法]对本院外科108例2005年1月到2010年1月保肛的RC手术患者按双吻合器吻合法(DST组)及其他吻合法(对照组)分为两组,分别对肿瘤距肛缘的距离、术后吻合口瘘例数、吻合口狭窄的例数、术后1月内死亡率、平均住院时间、平均住院费用、吻合口复发率7项指标进行比较分析以及对DST病例的排便功能进行分析。[结果]低位及超低位RC病例运用DST明显较多,差异有统计学意义(P<0.05);术后吻合口瘘、吻合口狭窄例数DST组低于对照组,差异有统计学意义(P<0.05);术后1月内死亡率、平均住院时间DST组明显较低,差异有统计学意义(P<0.05);平均住院费用、吻合口复发率无明显差异(P>0.05)。DST组术后1年内排便功能基本恢复。[结论]在严格掌握低位SSO适应症的前提下,使用DST是安全有效的。
[Objective] Colorectal anastomosis in deep pelvis was very difficult to perform during Dixon operation. In this study we evaluated the role of Jouble stapling technique in low colorectal anastomosis. [Method] By method of anastomosis（DST or not ）,108 cases were divided into two groups which were admitted in our department of general surgery from Jan.2005 to Jan.2010 and performed by Dixon .We analyzed seven indexes which were the anal margin of carcinoma ,the number of anastomotic breakdown and stricture ,mortality within one month ,mean time and cost of admission and the incijence of anastomotic recurrence. [Result] DST was more available in low and super low colorectal anastomosis ;There was of significant difference in the indexes of the number of anastomotic breakdown and stricture ,mortality within one month, meantime of admission between the two groups（P〈0.115）; while there was no significant difference in the indexes of mean cost of admission and the incidence of anastomotic recurrence. The function of diachoresis ：ould recover within one year. [Conclusion] To grasp the indication of Dixon operation in low colorectal anastomosis, DST is safe and effective.
出处
《浙江中医药大学学报》
CAS
2013年第3期278-281,共4页
Journal of Zhejiang Chinese Medical University
