带蒂大网膜预防梗阻性结直肠癌术后吻合口瘘的疗效  

Use of pedicled omentum in the prevention of anastomotic leakage after resection of obstructive colorectal cancer

作　　者：刘英俊[1] 王刚成[1] 万相斌[1] 程勇[1] 王有财[1] 刘晓勇[1] 韩广森[1] 

机构地区：[1]郑州大学附属肿瘤医院河南省肿瘤医院普外科,450008

出　　处：《中华普通外科杂志》2017年第1期23-25,共3页Chinese Journal of General Surgery

摘　　要：目的探讨利用带蒂大网膜预防合并肠梗阻的结直肠癌患者术后吻合口瘘的临床疗效。方法回顾性分析自2012年1月至2015年12月在郑州大学附属肿瘤医院行手术切除的102例合并肠梗阻的结直肠癌患者的临床病理资料、术后吻合口瘘的发生率及转归。结果对照组56例患者中7例术后发生吻合121瘘，吻合口瘘发生率为12％，实验组46例患者中1例术后发生吻合口瘘，吻合口瘘的发生率为2％，两组相比差异有统计学意义（x2=4．250，P=0．039）。对照组7例吻合口瘘患者中1例死于多脏器功能衰竭，1例行保守治疗后好转，5例行肠造瘘后好转。实验组1例吻合口瘘患者行保守治疗后好转。结论对于合并肠梗阻的结直肠癌患者，带蒂大网膜可以有效降低术后吻合口瘘的发生率。Objective To explore the clinical effects of pedicled omentum in preventing anastomotic leakage after resection of colorectal cancer complicated with intestinal obstruction. Methods The elinieopathologic data and anastomotic leakage rate of 102 patients with colorectal cancer undergoing resection from Dee. 2012 to Dec. 2015 were analyzed. Results Seven patients in the control group developed anastomotic leakage. Only I patient in the experimental group developed anastomotie leakage. The incidence of anastomotic leakage in the control group was 12%, while that in the experimental group was 2% （X2 = 4. 250, P = 0. 039 ）. Of the 7 patients complicating anastomotic leakage in control group, 1 died of multiple organ failure, 1 was cured with conservative treatment, and 5 were done with diverting stoma. The one leakage in experimental group was cured by conservative treatment. Conclusion Pedicled omentum is useful in the prevention of anastomotic leakage after resection of colorectal cancer in settings of intestinal obstruction.

关 键 词：结直肠肿瘤 吻合口瘘 网膜 肠梗阻 

分 类 号：R735.34[医药卫生—肿瘤]