吻合器吻合术在直肠癌手术保肛治疗中的价值探讨  

Stapling surgery in colorectal cancer surgery value sphincter preservation treatment discussed

作　　者：吴加胜[1] 

机构地区：[1]江苏省射阳县人民医院普外科,江苏盐城224300

出　　处：《特别健康（下）》2014年第5期5-6,共2页SPECIAL HEALTH

摘　　要：目的：探讨吻合器吻合术在直肠癌手术保肛治疗中的价值，并与经典Dixon手术进行比较。方法：对我院2009年2月-2013年3月22例直肠癌患者采取经腹切除吻合器吻合术（观察组）临床资料进行回顾性分析，并与同期22例直肠癌采取经典Dixon手术（对照组）治疗的临床资料比较。结果：观察组与对照组手术时间分别为160±31min、250±30min；术中出血量分别为400±27ml、550±36ml；住院时间分别为10．5±1．5d、16．4±2．5d；日排便次数分别为3．1±1．6次、5．9±1．2次。近期并发症吻合口瘘分别为0例、3例； 吻合口术后出血分别为0例、3例； 控便能力正常分别为19例（86．36％）、13例（59．09％）。远期并发症吻合口狭窄和（或）复发分别为1例、4例。两组对应参数比较均存在显著差异（P〈0．05），有统计学意义。结论：吻合器吻合手术时间和住院时间短、术中和术后出血量及例数少、术后并发症少、排便功能也多数趋于正常，提高患者的生活质量；同时其手术指征也得到进一步扩大，是中低位直肠癌成功保肛治疗的首选方案。Objective： To investigate stapling surgery in the treatment of colorectal cancer surgery sphincter preservation value and compare with the classical Dixon surgery . Methods ： The hospital in February 2009 -2013 on March 22 eases of colorectal cancer patients to take clinical data transabdominal resection anastomosis stapler （study group ） were retrospectively analyzed , and take the classic Dixon surgery with the same period 22 cases of colorectal cancer （ comparison of clinlcal data in the control group ） therapy. Results： The study group and the control group operative time was 160 ±31min, 250 ± 30min intraoperative blood loss was 400 ± 27ml, 550 36ml± hospital stay was 10. 5 ±1.5d, 16.4 ± 2.5d June defecation times were 3.1 ± 1.6 , 5.9± 1.2 times, Recent anastomotic fistula complications were 0 cases, 3 cases anastomotic bleeding were 0 eases , 3 cases control after normal were 19 cases （ 86.36% ） , 13 cases （ 59.09% ） . Long-term complications and anastomotic stricture （ or ） were one case of recurrence , four cases . Corresponding parameters between the two groups were significantly different （P 〈0.05）, there are statistically significant. Conclusion ： stapling surgery time and shorter hospital stay , intraoperative and postoperative bleeding and a small number of cases , fewer complications , n-lost tend to have normal bowel function and improve the quality of life of patients while its surgical indications are has been further expanded, is the success of sphincter preservation in low eolorectal cancer treatment of choice program .

关 键 词：吻合器吻合术 DIXON手术 直肠癌 临床价值探讨 

分 类 号：R605[医药卫生—外科学]