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目的:探讨分析柱状经腹会阴直肠癌切除术术后并发症发生的可能原因,并提出解决对策。方法:回顾分析我院自2010年1月至2014年5月采用柱状经腹会阴直肠癌切除术的68例直肠癌患者的临床资料。记录并分析患者发生术后并发症的情况,探讨发生的可能原因及可行对策。结果:68例患者术后出现并发症共9例,占13.2%。切口并发症4例,术后排尿困难2例,术后骶尾部疼痛3例。结论:柱状经腹会阴直肠癌切除术因为手术切除范围大,术后并发症亦随之凸显。但通过精细的术中解剖、重叠缝合腹膜关闭盆底、骶前通畅引流、合理掌握尿管拔管时机等手段,可有效降低术后并发症的发生。
Objective: To explore the possible causes of postoperative complications of peritoneal peritoneal resection of pelvic peritoneum, and to propose solutions. Methods: A retrospective analysis of our hospital from January 2010 to May 2014 by columnar abdominal perineal resection of 68 patients with rectal cancer clinical data. Record and analyze the postoperative complications occurred in patients, to explore the possible causes and possible countermeasures. Results: Ninety-eight patients (13.2%) had postoperative complications. Incision complications in 4 cases, 2 cases of postoperative dysuria, 3 cases of postoperative pain sacrococcygeal. Conclusion: Peritoneal perineal resection of the perineum resection due to the scope of surgical resection, postoperative complications also highlighted. However, through fine intraoperative anatomy, overlapping suturing the peritoneal closure of the pelvic floor, pre-sacral unilateral drainage, a reasonable grasp of the timing of catheter extubation and other means, can effectively reduce the incidence of postoperative complications.