直肠癌术后吻合口漏的防治体会

摘要

Objective To investigate the prevention and cure of postoperation stomal leak of rectal cancer. Methods : Analysing the stomal leak cases of the department of proctology Guanganmen hospital affiliated to China academy of Chinese medical sciences in 5 years and pertinent literatures. Results : We performed 137 anterior resections of rectal cancer (112 patients used anastomats) in 5 years, 6 peoples underwent stomal leak(4. 37%). All the leakages were cured. Conclusion : The cause of postoperation stomal leak of rectal cancer is complicated. Methods of prevention are good bowel preparation, treatment of complicating disease, no-tension anastomosis. The main methods are conservative therapies include anti-infection, douching and drainage, TPN.%目的 探讨直肠癌保肛手术后吻合口漏的防治方法.方法 回顾性分析2005年6月至2010年6月中国中医科学院广安门医院肛肠科直肠癌保肛手术137例发生的吻合口漏6例的防治临床资料.结果 术后发生吻合口漏6例,吻合口漏的发生率4.37％,均经保守治疗痊愈.结论 直肠癌保肛术后吻合口漏发病因素复杂,充分肠道准备、积极治疗原发病等可一定程度上预防其发生,抗感染、冲洗引流及TPN等保守治疗是其主要治疗手段.