腹腔镜结直肠癌术后吻合口瘘的防治与护理进展  

Advances in prevention,treatment and nursing of anastomotic leakage following laparoscopic colorectal cancer surgery

作　　者：蒲茜 文曰[1] 卢春燕[1] PU Xi;WEN Yue;LU Chunyan(Department of Gastrointestinal Surgery,West China Hospital of Sichuan University,Chengdu,Sichuan,610041)

机构地区：[1]四川大学华西医院胃肠外科,四川成都610041

出　　处：《实用临床医药杂志》2025年第2期143-148,共6页Journal of Clinical Medicine in Practice

基　　金：四川省成都市医学科研课题(2023063)。

摘　　要：结直肠癌是常见的消化系统恶性肿瘤之一,腹腔镜手术作为微创手术方式,具有创伤小、恢复快、住院时间短等优点,逐渐成为消化道系统疾病治疗的主流选择。但是术后吻合口瘘仍然是该手术严重并发症之一,对患者的康复和预后造成影响。本综述旨在汇总和分析近年来腹腔镜结直肠癌术后吻合口瘘的相关研究,探讨其发生机制、危险因素、预防策略、治疗及护理措施,为临床实践提供科学依据和指导。Colorectal cancer is one of the common malignancies of the digestive system.Laparoscopic surgery,as a minimally invasive procedure,has advantages such as minimal trauma,rapid recovery,and shortened hospital stay,gradually becoming a main choice for treatment of digestive system diseases.However,anastomotic leakage remains one of the serious complications following this surgery,impacting patients′recovery and prognosis.This review aimed to summarize and analyze recent research on anastomotic leakage after laparoscopic colorectal cancer surgery,exploring its pathogenesis,risk factors,preventive strategies,treatment and nursing measures,in order to provide a scientific basis and guidance for clinical practice.

关 键 词：腹腔镜结直肠癌术 吻合口瘘 防治 护理 综述 

分 类 号：R656[医药卫生—外科学] R574[医药卫生—临床医学] R473.6