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目的观察中低位直肠癌保肛术后应用气管插管行肛管插管减压的效果。方法将我院2013年1至4月收治的40例行中低位直肠癌DIXON术患者按照随机半盲原则分为实验组和对照组,实验组使用气管插管行肛管插管加压,对照组DIXON术后未用气管插管行肛管插管加压,比较两组术后吻合口并发症情况、胃肠功能恢复时间、拔出胃肠减压管时间和患者主观感受。结果实验组患者术后均未发生吻合口相关并发症,术后当日即可拔出胃肠减压管,胃肠功能恢复早,患者主观感受舒适。结论直肠癌保肛术后应用气管插管行肛管插管减压能有效防止吻合口漏等相关并发症的发生,减轻患者痛苦,提高围手术期患者生存质量,操作简便,经济实用。
Objective To observe the effect of anal canal intubation and tracheal intubation after preservation of anus in low and middle rectal cancer. Methods Forty patients with low and middle rectal cancer DIXON treated in our hospital from January to April 2013 were divided into experimental group and control group according to randomized and semi-blind principle. The experimental group was treated with endotracheal tube intubation and endotracheal intubation, Group DIXON after endotracheal intubation anal canal intubation pressure, comparisons of postoperative anastomotic complications, gastrointestinal function recovery time, the time of pulling out the decompression tube and the patient subjective feelings. Results There was no anastomotic complications occurred in the experimental group after operation. The gastrointestinal decompression tube could be pulled out on the same day after operation, and the gastrointestinal function recovered early and the subjective feeling was comfortable. Conclusion The application of endotracheal intubation and anal canal intubation decompression after rectal cancer preserving anus can effectively prevent the occurrence of anastomotic leakage and other complications, relieve the suffering of patients and improve the quality of life of perioperative patients. It is simple, economical and practical.