直肠癌根治术后吻合口出血的原因和处理  

Causes and managements of anastomotic bleeding after radical resection of rectal cancer

作　　者：所剑[1] 张洋[1] 王大广[1] 陈岩[1] 

机构地区：[1]吉林大学第一医院胃肠外科,长春130021

出　　处：《中华普外科手术学杂志（电子版）》2014年第2期24-26,共3页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：国家自然科学基金(81372295);卫生部医药卫生科技(W2011JZC26);国家十一五科技支撑子课题(2007BAE42B06);吉林省卫生厅(2012S018)

摘　　要：近年来,我国直肠癌的发病率逐渐升高,外科手术切除是治愈直肠癌的唯一方法,全直肠系膜切除术是国际上直肠癌手术的"金标准"。在外科治疗直肠癌的过程中,术后并发症是困扰外科医生的难题之一,其中术后吻合口出血是较为严重的并发症,如患者持续出血且临床未观察到或未及时处理,患者可出现失血性休克的表现,严重时甚至危及生命。本文针对直肠癌根治术后吻合口出血的原因进行归纳总结,并讨论了各原因的预防措施和治疗手段。In recent years , the incidence of rectal cancer has increased gradually .Surgical resection is still the only way to cure rectal cancer .The total mesorectal excision （ TME） is the international “gold standard” of rectal cancer surgery .In the course of surgical treatment for rectal cancer , postoperative complications , such as anastomotic bleeding , remained challenging .Patients with persistent bleeding should be observed and diagnosed timely , otherwise patients might suffer from hemorrhagic shock and even life-threatening complications .In this paper , causes of anastomotic bleeding after rectal cancer surgery were summarized, while prevention and management of anastomotic bleeding were also investigated .

关 键 词：直肠肿瘤 结直肠外科手术 手术后并发症 吻合口出血 

分 类 号：R735.37[医药卫生—肿瘤]