健康之路
健康之路
건강지로
HEALTH
2013年
12期
35-35,36
,共2页
直肠癌%保肛术%吻合口瘘
直腸癌%保肛術%吻閤口瘺
직장암%보항술%문합구루
Rectal cancer%Sphincter-preserving surgery%Anastomotic fistula
目的：探讨直肠癌保肛术后吻合口瘘的原因及防治措施.方法：回顾性分析2002年12月~2012年12月我院收治的159例直肠癌保肛手术病人的临床资料.结果：本组病人术后发生吻合口瘘11例(7．2％),9例经禁食、全身营养支持、局部引流、抗生素等治疗,2例再手术结肠造瘘,全组均获治愈.结论：吻合口瘘的发生与多种因素有关,如病人的身体状况、年龄、术前肠道准备、吻合技术、吻合口位置等.早期诊断、早期合理的治疗,是治愈吻合口瘘的重要环节.
目的：探討直腸癌保肛術後吻閤口瘺的原因及防治措施.方法：迴顧性分析2002年12月~2012年12月我院收治的159例直腸癌保肛手術病人的臨床資料.結果：本組病人術後髮生吻閤口瘺11例(7．2％),9例經禁食、全身營養支持、跼部引流、抗生素等治療,2例再手術結腸造瘺,全組均穫治愈.結論：吻閤口瘺的髮生與多種因素有關,如病人的身體狀況、年齡、術前腸道準備、吻閤技術、吻閤口位置等.早期診斷、早期閤理的治療,是治愈吻閤口瘺的重要環節.
목적：탐토직장암보항술후문합구루적원인급방치조시.방법：회고성분석2002년12월~2012년12월아원수치적159례직장암보항수술병인적림상자료.결과：본조병인술후발생문합구루11례(7．2％),9례경금식、전신영양지지、국부인류、항생소등치료,2례재수술결장조루,전조균획치유.결론：문합구루적발생여다충인소유관,여병인적신체상황、년령、술전장도준비、문합기술、문합구위치등.조기진단、조기합리적치료,시치유문합구루적중요배절.
Objective:To investigate the cause,preventive and therapeutic measures for anastomotic fistula after sphincter - preserving surgery for rectal cancer. Methods:The clinical data on 1 5 9 patients who underwent sphincter-preserving surgery for rectal cancer in our hospital between December of 2002 and December of 201 2 was retrospectively analyzed.Result:Among this group of patients,anastomotic fistula occurred in 1 1 patients (7.2%),9 were cured after fasting,general nutritional supG port,local draining and antibiotics and so on and 2 cured after re-surgery and colostomy,and al the patients of the group were cured.Conclusion:The occurrence of anastoG motic fistula is related with several factors,such as the physical status and age of the patient,preoperative bowel preparation,anastomosis technique,and anastomotic stoma location.Early diagnosis and early rational therapy are key points for curing anastomotic fistula.
