结直肠癌术后吻合口瘘的诊治进展  

Advances in Diagnosis and Treatment of Anastomotic Fistula after Colorectal Cancer

作　　者：陈鑫 蒋正华 许帮荣 梁道明[2] 

机构地区：[1]昆明医科大学研究生院,云南 昆明 [2]昆明医科大学第二附属医院胃肠外科一病区,云南 昆明

出　　处：《临床医学进展》2024年第11期881-887,共7页Advances in Clinical Medicine

摘　　要：结直肠癌是消化道常见恶性肿瘤之一,其发病率正逐渐升高,目前,外科手术依然是结直肠癌能够治愈的基石,然而,术后并发症的预防及处理是能否治愈的关键。术后吻合口瘘是结直肠癌手术常见且严重的并发症,吻合口瘘的发生,将导致的严重后果包括:增加肿瘤复发率、患者死亡率、再次手术增加及住院时间延长等。本文将从吻合口瘘的危险因素、诊断、治疗及预后几个维度全面梳理结直肠癌术后吻合口瘘的最新诊治进展,旨在为临床医生提供实用的指导,以降低吻合口瘘的发生率,改善患者预后。Colorectal cancer is one of the common malignancies of the digestive tract, and its incidence is gradually increasing. At present, surgery is still the cornerstone of a cure for colorectal cancer, however, the prevention and treatment of postoperative complications is the key to cure. Postoperative anastomotic fistula is a common and serious complication of colorectal cancer surgery. The occurrence of anastomotic fistula will lead to many serious consequences, including increased recurrence rate of tumor, mortality of patients, increased reoperation and prolonged hospital stay. This article will comprehensively review the latest progress in the diagnosis and treatment of anastomotic fistula after colorectal cancer surgery from the risk factors, diagnosis, treatment and prognosis, aiming to provide practical guidance for clinicians to reduce the incidence of anastomotic fistula and improve the prognosis of patients.

关 键 词：结直肠癌 术后并发症 吻合口瘘 诊治进展 预防及管理 

分 类 号：R73[医药卫生—肿瘤]