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目的探讨结直肠癌术后吻合口瘘的治疗措施。方法回顾性分析45例结直肠癌术后发生吻合口瘘患者的临床资料。结果556例结直肠癌患者,术后发生吻合口瘘45例(8．1%),其中40例(88．9%)与直肠手术有关。术后吻合口瘘发生时间3 h-51 d。42例采用非手术治疗,36例(85．7%)治愈,平均瘘口愈合时间为(28．9±15．4)d；6例未愈合,其中5例改行结肠造瘘,1例合并吻合口狭窄放人金属支架扩张狭窄。8例(17．8%,包括5例非手术治疗失败者)予以手术治疗。死亡4例(8．9%)。结论结直肠癌术后吻合口瘘以非手术治疗为主,必要时予以手术治疗。
Objective To investigate the treatment of colostomy fistula after operation. Methods Retrospective analysis of 45 cases of colorectal cancer occurred after anastomotic leakage in patients with clinical data. Results In 556 patients with colorectal cancer, 45 cases (8.1%) of anastomotic fistula occurred after operation, of which 40 (88.9%) were related to rectal surgery. Postoperative anastomotic leakage occurred 3 h-51 d. 42 cases were treated by non-operation, 36 cases (85.7%) were cured, the average fistula healing time was (28.9 ± 15.4) d; 6 cases did not heal, 5 cases were diverted colostomy, 1 case was merged Anastomotic stenosis release stent metal stent stenosis. Eight patients (17.8%, including five nonsurgical losers) were surgically treated. 4 died (8.9%). Conclusion Anastomotic fistula after colorectal cancer surgery is mainly non-surgical treatment, if necessary, to be surgically treated.