直肠癌保肛术后吻合口瘘原因及防治分析  

Management of anastomotic leakage after sphincter preserving surgery for rectal cancer

作　　者：韩彦华[1] 张艳辉[1] 

机构地区：[1]漯河市中心医院普外科,河南漯河462000

出　　处：《中国现代普通外科进展》2009年第6期489-491,506,共4页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:探讨直肠癌保肛术后吻合口瘘发生的原因、诊断、处理及防治措施。方法:回顾性分析2003年12月—2008年12月我院收治的220例直肠癌保肛手术患者的临床资料。结果:本组患者术后发生吻合口瘘16例(7.3%),14例予以全身营养支持、局部冲洗引流、抗生素等非手术治疗,另2例再次手术,均获治愈。结论:年龄、患者情况、吻合口位置、吻合技术及肠道准备等是吻合口愈合的影响因素。早期诊断、合理的治疗措施是治愈吻合口瘘的关键。Objective： To explore the risk factors, diagnosis, treatment and management of anastomotic leakage after radical resection for rectal cancer and preservation of anal sphincter. Methods.The clinical data of 220 rectal cancer patients, undergone sphincter preserving surgery from 2003 to 2008,was analyzed retrospectively. Results.. The incidence of anastomotic leakage among the 220 rectal cancer patients was 7.3% （16 patients）.14 cases of anastomotic leakage were healed by conservative therapy.The treatment included nutritional support, catheter drainage of ab- scesses and the use of antibiotics. The other 2 patients were healed by secondary operation. Con. clarions：Age, general condition, anastomotic location, operative technique and bowel preparation are the risk factors for the development of anastomotic leakage. Early diagnosis and effective treatment are the crucial to heal anastomotic leakage.

关 键 词：直肠肿瘤 保肛术 术后并发症 吻合口瘘 

分 类 号：R735.37[医药卫生—肿瘤]