大肠癌术后吻合口瘘的原因探讨及处理_袁德安.pdfVIP

1 2 袁德安 , 阮俊钢 (1., 839000;2., 436000) :[]。[]5 155 。[] 155 9 , 5.8%。Dixon Park, ;。10835 , 17.1%(6/35); 73, 4.1%(3/73)。(P 0.05)。 47 , , 。[]。。 :;;; :R735.3 :A :1671-170X(2002)03-0125-03 The Causation and Mana ement of Anastomotic Leaka e followin Lar e Bowel Sur ery 1 2 (1 .X in ian Hami Hon xin Hos ital,Hami 839000, China ; YUAN De-an , RUAN Jun-an j g g g p 2 .Central Hos ital o Ezhou in Hubei Province, Ezhou 436000, China ) p f Ab stract :[Purpose]To study the reasons and treatments for postoperative anastomotic leaka e of lar e bowel carcinoma.[Method] One hundred and fift -five cases with lar e bowel carcinoma in the ast five ears were anal sed retros ectivel .[Results] There were 9 anastomotic leaka e in 155 y p y y p y cases.The incidence rate was 5.8%.We took Dixon and Parks operation as extraperitoneal roup (the incidence of leak was 17.1%, 6/35cases) and com ared with intra eritoneal rou (the incidence of leak was 4.1%, 3/70 cases).The difference was si nificant (P 0.05).Posto erative p p p p intrarectum draina e was perfermed in 47 cases.All of them ot sta e Ⅰhealin .[Conclusion] Postoperative intrarectum draina e to reduce bowel pressure is one of the methods to decrease the leaka e incidence. Ke words :colorectal neo lasms ;sur er ;anastomotic leaka e ;osto erative com lication y p y p p p 5 2 。47 155 , , ,。 。9 , 5.8%, 2 结 果 ,。 Dixon Park , 1 材料与方法 ; 。35 , 155 91, 64 。