直肠癌术后吻合口漏的防治体会 |
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引用本文: | 王晓锋,孙晓燕,崔国策,马树梅,焦霞,李华山.直肠癌术后吻合口漏的防治体会[J].结直肠肛门外科,2011,17(5):306-309. |
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作者姓名: | 王晓锋 孙晓燕 崔国策 马树梅 焦霞 李华山 |
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作者单位: | 1. 中国中医科学院广安门医院肛肠科 北京 100053 2. 北京中医药大学 北京100029 3. 中国中医科学院研究生院 北京 100700 4. 北京市石景山区中医院肛肠科 北京 100043 5. 北京市世纪坛医院肛肠科 北京 100038 |
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摘 要: | 目的探讨直肠癌保肛手术后吻合口漏的防治方法。方法回顾性分析2005年6月至2010年6月中国中医科学院广安门医院肛肠科直肠癌保肛手术137例发生的吻合口漏6例的防治临床资料。结果术后发生吻合口漏6例,吻合口漏的发生率4.37%,均经保守治疗痊愈。结论直肠癌保肛术后吻合口漏发病因素复杂,充分肠道准备、积极治疗原发病等可一定程度上预防其发生,抗感染、冲洗引流及TPN等保守治疗是其主要治疗手段。
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关 键 词: | 直肠癌 保肛手术 吻合口漏 预防 治疗 |
Clinical research of prevention and cure of postoperation stomal leak of rectal cancer |
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Institution: | Wang Xiaofeng,Sun Xiaoyan,Cui Guoce,et al.(Guang An Men Hospital,China Academy of Traditional Chinese Medicine,Beijing 100053) |
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Abstract: | Objective To investigate the prevention and cure of postoperation stomal leak of rectal cancer.Methods:Analysing the stomal leak cases of the department of proctology Guanganmen hospital affiliated to China academy of Chinese medical sciences in 5 years and pertinent literatures.Results:We performed 137 anterior resections of rectal cancer(112 patients used anastomats) in 5 years,6 peoples underwent stomal leak(4.37%).All the leakages were cured.Conclusion:The cause of postoperation stomal leak of rectal cancer is complicated.Methods of prevention are good bowel preparation,treatment of complicating disease,no-tension anastomosis.The main methods are conservative therapies include anti-infection,douching and drainage,TPN. |
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Keywords: | Rectal cancer Anus-preserving operation Stomal leak Prevention Cure |
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