CAJ | 학술논문

目的探讨直肠肛管内、外双引流在预防直肠低位吻合口瘘的作用.方法将235例行直肠低位前切除术的患者按不同时间段分成前期组(2003年3月至2004年8月)和后期组(2004年9月至2007年11月).后期组患者的围手术期处理有所改进,特别是常规行直肠肛管内、外双引流.分别比较两组患者的吻合口瘘发生率和相关的临床病理资料.结果前期组89例患者中4例(4.5%)发生吻合口瘘,后期组146例患者中1例(0.7%)发生吻合口瘘.Logistic回归分析发现,是否行直肠肛管内、外双引流是影响吻合口瘘发生率的主要因素.结论直肠肛管内、外双引流能有效预防直肠低位吻合口瘘的发生.
목적 탐토직장항관내、외쌍인류재예방직장저위문합구루적작용.방법 장235례행직장저위전절제술적환자안불동시간단분성전기조(2003년3월지2004년8월)화후기조(2004년9월지2007년11월).후기조환자적위수술기처리유소개진,특별시상규행직장항관내、외쌍인류.분별비교량조환자적문합구루발생솔화상관적림상병리자료.결과 전기조89례환자중4례(4.5%)발생문합구루,후기조146례환자중1례(0.7%)발생문합구루.Logistic회귀분석발현,시부행직장항관내、외쌍인류시영향문합구루발생솔적주요인소.결론 직장항관내、외쌍인류능유효예방직장저위문합구루적발생.
Objective To investigate the effect of intra- and out-anoreetal drainage in the prevention of anastomotie leakage after low anterior resection (LAR). Methods Two hundred and thirty-five patients undergone LAR were divided into two groups according to two periods, the former group from Mar. 2003 to Aug. 2004 and the later group from Sep. 2004 to Nov. 2007. Technique advances were adopted in the later group, especially the routine intra- and out-anorectal drainage. Incidence of anastomotic leakage and clinicopathological data of two groups were compared. Results Anastornotic leakage oeeurred in 4 patients of the former group (4/89) and 1 of the later group (1/146). Logistic analysis found that intra- and out-anorectal drainage was the main issue which prevented anastomotie leakage. Conclusion Intra- and out-anoreetal drainage is useful for the prevention of anastomotic leakage after low anterior resection.