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吻合器时代手工吻合在低位直肠癌保肛手术中的应用
引用本文:吴康瑞,刘春安,吴志辉.吻合器时代手工吻合在低位直肠癌保肛手术中的应用[J].井冈山医专学报,2008,15(6):1-2.
作者姓名:吴康瑞  刘春安  吴志辉
作者单位:1. 吴川市人民医院,普通外科,广东,吴川,524500
2. 广东医学院附属医院胃肠外科,广东,湛江,524001
摘    要:目的通过比较手工吻合和吻合器吻合在低位直肠癌保肛手术中的应用情况,评价手工吻合的可行性和安全性。方法选择我科室低位直肠癌行保肛手术患者59例,随机分成对照组和研究组,实验组行手工吻合,对照组行吻合器吻合,比较手术时间、手术出血量、住院费用、术后并发症发生率。结果实验组手术时间长于对照组,差异有统计学意义(P〈0.01);实验组住院费用明显低于对照组,差异有统计学意义(P〈0.01);两组术后并发症的发生率及手术出血量无统计学意义(P〉0.05)。结论熟练掌握正确的手工吻合技术,手工吻合在低位直肠癌保肛手术中仍不失为一种好方法。

关 键 词:低位直肠癌  保留肛门括约肌  手工吻合  吻合器吻合

Application of manual anastomosis in anus-preserved operation of low rectal cancer in the stapler era
WU Kang-rui,LIU Chun-an,WU Zhi-hui.Application of manual anastomosis in anus-preserved operation of low rectal cancer in the stapler era[J].Journal of Jinggangshan Medical College,2008,15(6):1-2.
Authors:WU Kang-rui  LIU Chun-an  WU Zhi-hui
Institution:WU Kang-rui, LIU Chun-an, WU Zhi-hu (1.Department of General Surgery, The People's Hospital of Wuchuan, Wuchuan, 524500, China; 2.Department of Gastrointestinal of Affiliated Hospital , Guangdong Medical College, Zhanjiang 524001, China)
Abstract:Objective: To compare the feasibility and safety of the anastomosis between by hand and by anastomat in the anus-preserved operation of low rectal cancer.Methods: 59 patients with low rectal cancer were randomly divided into 2 groups: the control group received the anastomosis by anastomat and the study group received the anastomosis by hand.Then compared the operative time,hospital fees,blood loss and postoperative complication rate between two groups.Results: The operative time of the study group was long...
Keywords:low rectal cancer  anus-preserved operation  the anastomosis by hand  the anastomosis by anastomat  
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