三腔双囊管压迫法治疗直肠癌根治术中骶前区静脉出血效果观察  

Clinical Observation of Sengstaken-Blackmore Tube in Treating Presacral Venous Hemorrhage in Surgery of Rectum Cancer

作　　者：王振全[1] 焦喜林[1] 陈芸[1] 贺屹巍[1] 陈健[1] 

机构地区：[1]解放军白求恩国际和平医院普外二科,石家庄050082

出　　处：《临床误诊误治》2015年第6期36-38,共3页Clinical Misdiagnosis & Mistherapy

摘　　要：目的：探讨三腔双囊管压迫法在治疗直肠癌骶前区静脉出血中应遵循的原则和应用价值。方法对我院行直肠癌根治术中发生骶前区静脉出血5例的临床资料进行回顾性分析。结果本组因盆底术野暴露较差,盲视下分离,将骶前筋膜连同骶前静脉撕脱破裂出血3例；因直肠后壁癌灶穿透直肠全层,分离骶尾部时发生出血1例；直肠癌术后复发再次手术,骶前粘连严重分离时出血1例。失血量〈1000 ml 1例,1000~2000 ml 3例,2300 ml 1例。全部采用三腔双囊管压迫法压迫止血,均获成功,顺利完成手术,无并发症及出血相关死亡病例,术后均痊愈出院。结论三腔双囊管压迫法治疗直肠癌骶前区静脉出血迅速、简便、可靠,为临床治疗骶前区静脉出血的有效方法。Objective To investigate the principles and clinical application value of the Sengstaken-blakemore tube in the treatment of rectum cancer with presacral venous hemorrhage;Methods Clinical data of 5 cases undergoing the radical surgery for rectum cancer during December 2009 and 2014 were analyzed retrospectively. Results There were 3 cases of pre-sacral venous hemorrhage;1 case of hemorrhage while segregating sacroiliac and 1 case of hemorrhage during segregation oper-ation for serious presacral concretion following relapse of rectum cancer. The blood loss volume was 〈1000 ml in 1 case;1000~2000 ml in 3 cases and 2300 ml in 1 case . The operation of rectum cancer using Sengstaken-blakemore tube compres-sion method was successful without serious complications and with no mortality case. All the patients were healed and dis-charged. Conclusion Sengstaken-blakemore tube compression method in the treatment of rectum cancer of presacral venous hemorrhage is rapid, simple and reliable as an effective method to treat the presacral venous hemorrhage.

关 键 词：直肠肿瘤 结直肠外科手术 失血 骶前区静脉出血 三腔双囊管 

分 类 号：R735.37[医药卫生—肿瘤] R619.1[医药卫生—临床医学]