57例直肠癌合并糖尿病的保肛治疗分析

目的探讨降低合并糖尿病的直肠癌患者保肛手术后吻合口瘘和感染的发生率。方法将57例合并糖尿病的直肠癌患者,在术前、术中和术后均严密监测血糖并严格控制血糖在规定范围内。结果本组术后发生吻合口瘘1例,发生切口感染3例,泌尿系感染3例,肺部感染1例。结论对于合并糖尿病的直肠癌患者,只要在术前、术中和术后均严密监测血糖并严格控制血糖在规定范围内,就能降低保肛手术后吻合口瘘和感染的发生率。

Analysis on 57 cases of saving anus surgery for rectal cancer patients incorporated diabetes

Objective To discuss how to decrease the incidence rate of marginal ulcer and infection after saving anus surgery for rectal cancer patients incorporated diabetes.Methods 57 cases of rectal cancer patients incorporated diabetes were closely monitor blood sugar and keep it in rated rage before,during and after operation.Results 1 case of marginal ulcer,3 cases of infection of incisional wound,3 cases of urinary infection,and 1 case of pulmonary infection occurred after the surgery.Conclusion For rectal cancer patients incorporated diabetes,the incidence rate of marginal ulcer and infection can be lowered as long as blood sugar is closely monitored and is kept in rated rage before,during and after the surgery.