直肠癌行双吻合器保肛术后并发症的预防和治疗

目的：探讨低位直肠癌行双吻合器保肛术后无并发症的预防和治疗措施。方法：1996年6月至2001年9月对141例低位直肠癌用双吻合器法行保肛手术。结果：吻合口瘘的发生率是2．13％（3／141）。其中1996年至1999 年底吻合口瘘的发生率是6．06％（2／33），2000－2001年是0．93％（1／108）。仅有3例吻合口狭窄。结论：积极的预防是减少并发症发生的最简单有效的方法。并发症预防的主要措施：充分的肠道准备，良好的肠管血运，熟练运用双吻合器与正确放置引流管。

PREVENTION AND TREATMENT OF ANASTOMOTIC LEAKAGE AFTER APPLING DOUBLE STAPLING DEVICE IN THE SPHINCTER PRESERVING SURGERY

Objective: To study the preventive measures and treatment of anastomotic leakage after applying double stapling device in the sphincter preserving surgery Methods: Reporting treatment for 141 cases of anterior peritoneal resection of rectal carcinoma with double stapling device from December 1996 to September 2001 Results: Incidence of anastomotic leakage after surgery was 2 13%(3/141) From 1996 to 1999 incidence of anastomotic leakage after surgery was 6 06(2/33), but 0 93%(1/108) from 2000~2001 Only 3 caseshad anastomotic narrowing Conclution: The simpliest method is prevention It is important that ample preparation for bowel, blood circulation of bowel is good,and double stapling device is skillfully used and drainage tube is correctly placed