合理应用肠腔灌洗液对直肠癌手术预后复发影响的研究进展  

Reasonable application of rectal washout in surgery for rectal cancer: Influence on prognosis and recurrence

作　　者：王君辅[1] 张平峰[2] 谢勇[1] 胡林[1] 李昌荣[1] 李红浪[1] 

机构地区：[1]南昌大学第二附属医院胃肠外科,江西省南昌市330006 [2]九江学院附属医院普外科,江西省九江市332000

出　　处：《世界华人消化杂志》2015年第22期3576-3581,共6页World Chinese Journal of Digestology

摘　　要：残留肿瘤细胞脱落种植可能引起结直肠术后吻合口复发,其主要存在于肠管中,然而肠腔灌洗可显著减少肠腔游离肿瘤细胞,并降低局部复发率.临床中肠腔灌洗在手术中应用,但其效果仍存在争议.本文主要介绍了肠腔灌洗的方法、灌洗液的类型、选择的灌洗量、与直肠癌术后局部复发的关系,重点探讨合理的应用肠腔灌洗液对直肠癌手术预后复发影响的研究概况.The growth of residual tumor cells may cause postoperative colorectal anastomotic recurrence,which mainly exists in the intestine;however,rectal washout can significantly reduce the number of free tumor cells in the intestinal cavity and decrease the local recurrence rate.Clinical application of rectal washout has been tried in operation,but the effect remains controversial.This paper mainly introduces the method of rectal washout,washout fluid type,amount of washout fluid,relation of rectal washout with local recurrence,with emphasis on the influence of reasonable application of rectal washout on prognosis and recurrence of rectal cancer after surgery.

关 键 词：肠腔灌洗 直肠癌 肿瘤细胞 预后复发 

分 类 号：R735.37[医药卫生—肿瘤]