基层医学论坛
基層醫學論罈
기층의학론단
PUBLIC MEDICAL FORUM MAGAZINE
2014年
14期
1775-1777
,共3页
直肠癌%保肛手术%吻合口瘘%原因%防治
直腸癌%保肛手術%吻閤口瘺%原因%防治
직장암%보항수술%문합구루%원인%방치
Rectal cancer%Anuspreserving operation%Stomal leak%Reason Prevention
目的：探讨直肠癌术后吻合口瘘发生的原因及防治策略。方法回顾性分析2002年9月-2013年11月间我院手术治疗285例直肠癌患者的临床资料。结果285例直肠癌患者术后发生吻合口瘘共19例，发生率为6.67%，采取非手术治疗者16例，行横结肠造瘘手术治疗者3例，均成功治愈，瘘口平均愈合时间为（29.2±5.6）d；年龄、肿瘤位置、合并糖尿病、身体状况均对吻合口瘘的发生有明显影响（P<0.05）。结论年龄、肿瘤位置、合并糖尿病、患者身体状况等是吻合口愈合的重要影响因素，提高术中吻合质量、及早发现、合理治疗是减少吻合口瘘发生及提高患者预后的关键。
目的：探討直腸癌術後吻閤口瘺髮生的原因及防治策略。方法迴顧性分析2002年9月-2013年11月間我院手術治療285例直腸癌患者的臨床資料。結果285例直腸癌患者術後髮生吻閤口瘺共19例，髮生率為6.67%，採取非手術治療者16例，行橫結腸造瘺手術治療者3例，均成功治愈，瘺口平均愈閤時間為（29.2±5.6）d；年齡、腫瘤位置、閤併糖尿病、身體狀況均對吻閤口瘺的髮生有明顯影響（P<0.05）。結論年齡、腫瘤位置、閤併糖尿病、患者身體狀況等是吻閤口愈閤的重要影響因素，提高術中吻閤質量、及早髮現、閤理治療是減少吻閤口瘺髮生及提高患者預後的關鍵。
목적：탐토직장암술후문합구루발생적원인급방치책략。방법회고성분석2002년9월-2013년11월간아원수술치료285례직장암환자적림상자료。결과285례직장암환자술후발생문합구루공19례，발생솔위6.67%，채취비수술치료자16례，행횡결장조루수술치료자3례，균성공치유，루구평균유합시간위（29.2±5.6）d；년령、종류위치、합병당뇨병、신체상황균대문합구루적발생유명현영향（P<0.05）。결론년령、종류위치、합병당뇨병、환자신체상황등시문합구유합적중요영향인소，제고술중문합질량、급조발현、합리치료시감소문합구루발생급제고환자예후적관건。
Objective To investigate the reason and prevention of postoperation stomal leak of rectal cancer. Methods To retrospectively analyze the clinical data of 285 rectal cancer patients receive operation from January 2002 to December 2013 in our hospital. Results There were 19 (6.67%) stomal leak cases among the 285 rectal cancer patients,non-surgical treatment in 16 patients and surgery in 3 patients. All patients were successfully close the fistula, the average healing time was (29.2 ±5.6)d. The age,tumor location, diabetes mellitus, and condition of patients were significant effect to the incidence of stomal leak after surgical (P<0.05).Conclusion The age,tumor location,diabetes mellitus,and condition of patients are important influence factors for the stomal healing. Improve the stapling technique, early diagnosis and reasonable treatment can reduce incidence rate of stomal leak and improve prognosis of patients.
