CAJ | 학술논문

吻合口漏是直肠癌前切除术后的严重并发症之一.其发生与患者的年龄、体重和营养状况、基础疾病、围手术期准备情况、术前放化疗、手术操作技术、肿瘤本身的情况等因素有关.通过观察患者的症状、体征、引流液情况和必要的影像学检查,可诊断吻合口漏.大部分吻合口漏可以保守治疗.吻合口漏重在预防,对高危人群,预防性肠造口是有必要的,但也有一定的并发症,需谨慎使用.
문합구루시직장암전절제술후적엄중병발증지일.기발생여환자적년령、체중화영양상황、기출질병、위수술기준비정황、술전방화료、수술조작기술、종류본신적정황등인소유관.통과관찰환자적증상、체정、인류액정황화필요적영상학검사,가진단문합구루.대부분문합구루가이보수치료.문합구루중재예방,대고위인군,예방성장조구시유필요적,단야유일정적병발증,수근신사용.
Anastomotic leakage was one of the severe complications after anterior resection of rectal cancer.Its occurrenc was correlated with age,weight and nutrtion,basic diseases,preoperative radio-chemotherapy,surgical technique and stage of the tumor.Anastomotic leakage could be diagnosed by symptoms,physical signs,drainagefluid and imaging examinations.Most of the anastomotic leakage could be cured non-operatively.Much attention should be pay on the prevention of anastomotic leakage,protective stomy should be made in high risk population,while the complications of protective stomy should be pay attention to.