| 直肠癌切除Dixon术后吻合口瘘危险因素分析与防治策略 |
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| 引用本文： | 李大勇,周辉,姚远,罗传瑜. 直肠癌切除Dixon术后吻合口瘘危险因素分析与防治策略[J]. 中国实用医药, 2011, 6(32): 3-5 |
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| 作者姓名： | 李大勇 周辉 姚远 罗传瑜 |
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| 作者单位： | 芜湖市第二人民医院普外胃肠外科,241000 |
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| 摘 要： | 目的探讨直肠癌Dixon术后吻合口瘘发生的危险因素、诊断、处理及防治措施。方法回顾性分析2006年1月至2010年12月我院收治的169例直肠癌Dixon手术患者的临床资料,分析直肠癌患者行Dixon手术后发生吻合口瘘的危险因素。结果本组患者术后发生吻合口瘘18例(10.7%),15例予以全身营养支持、加强全身抗感染治疗及局部加强冲洗引流等非手术治疗,另3例再次手术,均获治愈。结论患者的性别、年龄、吸烟酗酒者、术前合并有贫血、低蛋白血症、糖尿病及不全性肠梗阻,肿块距离肛缘≤5cm等都是是吻合口瘘发生的危险因素。早期发现、早期诊断、合理的治疗措施是治愈吻合口瘘的关键。
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| 关 键 词： | 直肠癌 Dixon术 吻合口瘘 |
Analysis of risk factors and management strategy of anastomotic leakage after Dixon surgery for rectal cancer |
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| LI Da-yong,ZHOU Hui,YAO Yuan,et al.. Analysis of risk factors and management strategy of anastomotic leakage after Dixon surgery for rectal cancer[J]. China Practical Medical, 2011, 6(32): 3-5 |
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| Authors: | LI Da-yong ZHOU Hui YAO Yuan et al. |
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| Affiliation: | LI Da-yong,ZHOU Hui,YAO Yuan,et al.Department of General Surgery,The Second People's Hospital of Wuhu,Anhui 241000,China |
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| Abstract: | Objective To investigate the riskfactors,diagnosis,prevention and management strategy of anastomotic leakage after Dixon resection for rectal cancer.Methods The clinical data of 169 rectal cancer patients,undergone Dixon surgery from 2006 to 2010,were analyzed retrospectively.Analyzed the risk factors of anastomotic leakage after Dixon resection for rectal cancer.Results The incidence of anastomotic leakage among the 169 rectal cancer patients was 10.7%(18 patients).15 cases of anastomotic Ieakage were heal... |
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| Keywords: | Rectal cancer Dixon operation Anastomotic leakage |
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