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目的探讨低位直肠癌Dixion术后吻合口瘘的原因和防治措施。方法回顾分析2004-12-2009-12郑州人民医院肿瘤外科129例低位直肠癌患者行Dixion术的临床资料。结果 129例患者,术后发生吻合口瘘12例(8.53%),11例采用保守治疗后痊愈出院。结论加强术后管理是预防吻合口瘘的关键,出现吻合口瘘应积极采取措施。如果吻合口在腹膜外,引流充分,患者营养良好均可采用保守治疗。
Objective To investigate the causes and prevention and treatment of anastomotic fistula after Dixion surgery for low rectal cancer. Methods The clinical data of 129 patients with low rectal cancer who underwent Dixion surgery in the Department of Oncology, Zhengzhou People ’s Hospital from December 2004 to December 12, 2004 were retrospectively analyzed. Results In 129 patients, anastomotic fistula occurred in 12 cases (8.53%) and 11 cases were cured after conservative treatment. Conclusion To strengthen postoperative management is the key to prevent anastomotic leakage, and anastomotic leakage should be taken actively. If the anastomotic in the extraperitoneal, drainage, patients with good nutrition can be conservative treatment.