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低位直肠癌手术中使用双吻合器吻合口瘘的原因与处理
引用本文:吴红学,童仕伦. 低位直肠癌手术中使用双吻合器吻合口瘘的原因与处理[J]. 临床外科杂志, 2008, 16(8): 521-523
作者姓名:吴红学  童仕伦
作者单位:武汉大学人民医院胃肠外科,430060;武汉大学人民医院胃肠外科,430060
摘    要:目的探讨低位直肠癌双吻合器吻合吻合口瘘发生的原因、预防及处理方法。方法回顾性分析我院2000年6月至2005年12月应用双吻合器进行Dixon术的86例病例的临床资料。结果12例发生吻合口瘘,7例经保守治疗治愈,5例手术治疗治愈。2例出现吻合口狭窄,排便不畅,经定期扩肛而治愈。结论吻合口瘘是低位直肠癌双吻合器前切除术后常见的并发症,小的瘘口可经保守治疗治愈,大的瘘口则需结肠造口以转流粪便,待瘘口封闭后再次手术还纳造口。

关 键 词:直肠癌  吻合口漏  双吻合器

The causes and treatments of anastomotic fistula in low anterior resection with double-stapling technique
WU Hong-xue,TONG Shi-lun. The causes and treatments of anastomotic fistula in low anterior resection with double-stapling technique[J]. Journal of Clinical Surgery, 2008, 16(8): 521-523
Authors:WU Hong-xue  TONG Shi-lun
Affiliation:WU Hong-xue, TONG Shi-lun. (Department of Gastrointestinal Surgery,Renmin Hospital of Wuhan University, Wuhan 430060, China)
Abstract:Objective To investigate the causes,prevention and treatments of anastomotic fistula in low anterior resection with double-stapling technique.Methods Eighty-six cases were subjected to low anterior resction with double-stapling technique from June 2000 to December 2005 in our hospital.The clinical data were analyzed retrospectively.Result Anastomotic fistula appeared in 12 cases.Seven cases were cured through non-surgical treatment,and 5 cases were cured surgically.Anastomotic stenosis happened in 2 cases w...
Keywords:rectal cancer  anastomotic fistula  double-stapling technique  
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