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目的:研究结直肠手术后吻合口瘘的预防及治疗方法。方法:回顾性分析自2008年以来大肠手术后出现的10例吻合口瘘的原因及防治。资料:本组急诊手术作一期吻合的有3例;择期手术,有充分的术前准备,满意的手术操作过程而术后出现吻合口瘘的有7例。均作近端肠管造口后,病人均痊愈出院。在择期手术后出现的瘘的病人年龄均在70岁以上,其中一例年龄达81岁。结论:吻合口漏仍是大肠手术后最常见病发症,随作结直肠癌老龄病人的增多,吻合口瘘大多出现在此类老龄病人中,应引起重视;一但发生吻合口瘘,要尽早作近端肠管的造口术,挽救病人生命。
Objective: To study the prevention and treatment of anastomotic fistula after colorectal surgery. Methods: Retrospective analysis of 10 cases of anastomotic leakage after colorectal surgery since 2008 and the prevention and treatment. Data: The group of emergency surgery for an anastomosis in 3 cases; elective surgery, adequate preoperative preparation, satisfactory surgical procedures and postoperative anastomotic leakage in 7 cases. After making proximal bowel stoma, the patients were cured and discharged. Patients who developed fistula after elective surgery were over 70 years old, and one of them was 81 years old. Conclusions: Anastomotic leakage is still the most common complication after colorectal surgery. With the increase of elderly patients with colorectal cancer, anastomotic fistula mostly appears in such elderly patients, which should pay attention to; anastomotic fistula As soon as possible proximal bowel ostomy to save the lives of patients.