低位直肠癌直肠前切除术后吻合口瘘的预防

目的探讨低位直肠癌直肠前切除术后吻合口瘘的综合预防措施和个性预防措施。方法对66例直肠癌行直肠前切除术的患者同术期采取综合预防措施和个性预防措施。降低吻合口瘘的发生率，并对临床资料进行回顾性分析和总结。结果66例患者中，发生吻合口瘘4例（6％），均再次手术后治愈。结论熟知发生吻合口瘘的原因，围术期采取综合性和个性预防措施，可有效降低中低位直肠癌直肠前切除手术吻合口瘘的发生率。

Prevention of anastomotic leakage after anterior resection of low rectal cancer

Objective To investigate the comprehensive and individual preventive measures about anastomotic leakage after anterior resection of low rectal cancer. Methods Comprehensive and individual preventive measure among the 66 cases of patients with anterior resection of rectal cancer in perioperation were taked, in order to reduce the incidence of anastomotic leakage, and the clinical datas were analyzed and summarized retrospectively. Results There were 4 cases (6%) with anastomotic leakage in the 66 cases, and they were cured after second operation. Conclusion Know well the causes of anastomotic leakage and take the comprehensive and individual preventive measures in perioperation can reduce the incidence of anastomotic leakage after anterior resection of middle or low rectal cancer effectively.