三管引流法在防治直肠癌前切除术后吻合口漏中的应用  

Application of three-tube drainage for the treatment of anastomotic leakage after low anterior resection for rectal cancer

作　　者：陈海明 陈福佳 胡学升 林群护 李建光 许玲玲 孔艳秀 CHEN Haiming;CHEN Fujia;HU Xuesheng;LIN Qunhu;LI Jianguang;XU Lingling;KONG Yanxiu(Department of General Surgery,The People􀆳s Hospital of Jiangmen City,Jiangmen 529000,China)

机构地区：[1]广东省江门市人民医院普外科,江门529000

出　　处：《广州医药》2021年第2期77-79,共3页Guangzhou Medical Journal

摘　　要：目的探讨应用三管引流法在防治直肠癌前切除术后吻合口漏中的疗效。方法选取在我科2018年4月-2020年3月接受腹腔镜或者开腹直肠癌前切除术患者186例,将患者随机分为两组,研究组(三管引流法)96例,对照组(常规引流法)90例,进行对比研究。比较两组患者术后吻合口漏及恢复情况。结果研究组患者吻合口漏发生率、非计划手术率、回肠造口率低于对照组(P<0.05),吻合口漏患者中,研究组体温恢复正常时间、C反应蛋白(CRP)恢复正常时间及住院时间均少于对照组,差异均有统计学意义(P<0.05)。结论应用三管引流法,可预防直肠癌前切除术后吻合口漏,通过非手术治疗避免非计划二次手术,缩短吻合口漏患者恢复时间,显示更好的临床疗效。Objective To explore and evaluate the clinical application value of three-tube drainage for the treatment of anastomotic leakage after low anterior resection for rectal cancer.Methods We retrospectively analyzed a total of 186 rectal cancer patients after low anterior resection for rectal cancer in our hospital from April 2018 to March 2020.According to the difference of prevention to anastomotic leakage,these patients were divided into two groups randomly that 90 cases used conventional drainage as control group,and 96 cases used three-tube drainage as study group.Postoperative recovery and anastomotic leakage were compared between these two groups.Results The rate of anastomotic leakage,ileostomy and unplanned reoperation of study group were lower than those of control group(P<0.05).The times returned to normal of body temperature and C-reactive protein(CRP),the average length of stay in hospital of study group were shorter than those of control group respectively(P<0.05).Conclusion The application of three-tube drainage may prevent anastomotic leakage and unplanned reoperation after low anterior resection for rectal cancer and shorten postoperative recovery time,to reveal better clinical effects.

关 键 词：直肠癌 直肠低位前切除术 吻合口漏 

分 类 号：R735.37[医药卫生—肿瘤]