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目的探讨直肠癌术后吻合口出血的常见病因及防治对策。方法对我院2005年1月至2009年12月间共收治的386例直肠癌患者行Dixon术后出现的吻合口出血并发症进行回顾性分析并文献复习。结果 386例直肠癌Dixon术后有6例发生吻合口出血,常见病因包括糖尿病等伴发病和吻合口张力等导致吻合口瘘的因素;吻合时技术因素。结论直肠癌Dixon术后吻合口出血并发症常见病因有糖尿病等伴发病和吻合口张力等导致吻合口瘘的因素;吻合时技术因素。直肠癌Dixon术后吻合口出血以预防为主。
Objective To investigate the common causes of postoperative anastomotic bleeding in rectal cancer and its prevention and treatment. Methods Retrospective analysis and literature review of the complications of anastomotic bleeding after Dixon operation were performed in 386 patients with rectal cancer who were treated in our hospital from January 2005 to December 2009. Results There were 6 cases of anastomotic hemorrhage in 386 cases of Dixon after rectal cancer. The common causes were anastomotic fistula, such as the complication of diabetes and anastomotic tension, and the technical factors of anastomosis. Conclusions The common causes of complications of anastomotic bleeding after Dixon rectal cancer include the incidence of diabetes and other anastomotic factors and anastomotic leakage, and the technical factors of anastomosis. Rectal cancer Dixon anastomotic bleeding to prevention.