美兰在术中检测直肠癌吻合口漏的应用 |
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引用本文: | 黄卫,陈玉祥,李俊,黄国飞.美兰在术中检测直肠癌吻合口漏的应用[J].航空航天医学杂志,2013(12):1469-1470. |
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作者姓名: | 黄卫 陈玉祥 李俊 黄国飞 |
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作者单位: | 四川德阳市人民医院,德阳618000 |
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摘 要: | 目的观察美兰在术中检测预防直肠癌术后吻合口漏的应用。方法入组病例共151例,剔除无法切除肿瘤或不适宜结直肠吻合的病例19例,进入临床研究病例共132例,研究组65例,对照组67例。年龄37—85岁,平均58.7岁;男性75例,女性57例,男女比例1.32;肿瘤下极距肛缘5.0-11.0cm(术中测量),平均6.4cm;肿瘤大小3.5—9.5cm,平均5.2cm;择期手术121例,急诊手术11例。研究组在完成肠吻合后从肛门注入美兰1支+生理盐水50mL,观察吻合口有无关兰渗漏。术后6个月随访率100%。两组患者对比术后吻合口漏发生率。结果术中使用关兰溶液检测吻合口,术后吻合口漏发生率明显低于对照组,两组比较差异有统计学意义(P〈0.05)。结论术中使用美兰溶液检测直肠癌切除后吻合口,定位准确,直视下修补,明显降低或避免了直肠癌术后吻合口漏的发生,该法简单实用,值得推广。
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关 键 词: | 美兰 术中检测 直肠癌 吻合口漏 |
Methylene Blue in the Intraoperative Detection of Rectal Anastomotic Leakage |
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Institution: | HUANG Wei, CHEN Yuxiang, LI Jun, et al. (The People's Hospital of Deyang City, Siehuan 618000, China) |
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Abstract: | Objective To observed value of methylene blue solution in the prevention of rectal cancer surgery anasto- motic leakage. Methods Into the group of cases of 151 cases, excluding 19 cases of unresectable tumors or unfit rectal anastomosis cases, into a total of 132 cases of clinical research,Study group of 65 patients in the control group (67 ca- ses). Age 37 years to 71 years, with an average of 59.7 years of age; 53 cases of 79 cases of male, female, male to fe- male ratio of 1.49 ; Tumor under the pole away from the anal verge 5.0 cm ~ 11.0 cm ( intraoperative measurement), an average of 6. 4 cm; tumor size 3. 5 cm ~9. 5 cm, an average of 5. 2 cm. On the one hand; Elective surgery 121 cases, 11 cases of emergency surgery, enteric anastomosis is completed, the study group injected 50 ~ 100 ml Methylene blue solution from the anus to observe any leaks anastomotic. After 6 months of follow - up rate of 100%. The two groups of pa- tients comparing the incidence of anastomotic leakage. Results Intraoperative use of the Meilan research group anasto- motic leakage was significantly lower than the control group, the difference was statistically significant (P 〈 0. 05). Con- clusions The intraoperative use of Methylene blue solution after the detection of rectal cancer resection anastomosis is intact and thus accurate repair, reduce the incidence of anastomotic leakage,worthy of promotion. |
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Keywords: | Methylene blue solution Intraoperative detection Rectal cancer Anastomotic leakage |
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