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目的分析总结低位直肠癌全直肠系膜切除术后迟发性直肠阴道瘘的原因及诊治经验与体会。方法回顾性分析我院2010年1月-2012年1月来3例TME后发生迟发性吻合口阴道瘘的临床特征、诊断过程、治疗情况与治疗效果。结果直肠癌保肛术发生迟发性吻合口瘘的原因与手术方式和术后吻合口血供、吻合口张力等因素有关。结论术前充分准备,术中充分游离,术后合理护理、定期随访能降低迟发性吻合口瘘的发生率。
Objective To analyze and summarize the causes and diagnosis and treatment of delayed rectovaginal fistula after total mesorectal excision of low rectal cancer. Methods The clinical features, diagnosis, treatment and treatment of delayed anastomotic vaginal fistula after 3 cases of TME were retrospectively analyzed in our hospital from January 2010 to January 2012. Results The causes of delayed anastomotic leakage in rectal cancer during anus preservation were related to the operation method and blood supply and anastomotic tension after operation. Conclusion Preoperative preparation, adequate free surgery, reasonable postoperative care, regular follow-up can reduce the incidence of delayed anastomotic leakage.