直肠癌根治术后盆腔出血的临床探讨  

Clinic study of pelvic hemorrhage after radical rectectomy for rectal cancer

作　　者：周茂松[1] 王进[1] 王春地[1] 潘生华[1] 何国琴[1] 万娟[1] 

机构地区：[1]江苏省宝应县人民医院普外科,江苏宝应225800

出　　处：《中国肿瘤外科杂志》2017年第1期42-44,共3页Chinese Journal of Surgical Oncology

摘　　要：目的探讨直肠癌根治术后盆腔出血的原因、再次手术的指征及预防措施,以期降低盆腔出血发生率。方法分析2001年1月至2015年12月江苏省宝应县人民医院普外科10例行直肠癌根治术后并发盆腔出血患者的临床资料。结果 10例患者术后1~24 h盆腔及骶前引流管引流出800~1 500 ml血性液体。保守治疗3例;再次手术7例,其中缝扎止血6例,创面填塞压迫止血1例。10例患者出血均得到有效控制。结论直肠癌根治术后盆腔出血与手术操作有密切关系,预防的关键是熟悉局部解剖,重视手术基本操作,血管结扎牢靠。Objective To analyze the causes, indication of reoperation and prevention measures of pel- vic hemorrhage after radical rectectomy for rectal cancer. Methods We analyzed the clinical data of 10 cases of pelvic hemorrhage after radical rectectomy for rectal cancer in our department between January 2001 and De- cember 2015 retrospectively. Results In the 10 cases, 800 - 1500 ml fresh blood were drained from the pelvic or presacral drainage tube after operation 1 - 24 h. Three cases recovered after conservative treatment while sev- en cases underwent reoperation, including bleeding vessels ligation or suture in 6 cases and hemostasis gauze pressing in 1 case. All these 10 cases were cured. Conclusions Pelvic hemorrhage after rectectomy for rectal cancer was associated with surgical technique. The key points of prevention are being familiar with the local a- natomy, basic operation skills and reliable ligation for the main blood vessels.

关 键 词：直肠肿瘤 直肠癌根治术 手术并发症 盆腔出血 

分 类 号：R735.37[医药卫生—肿瘤]