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目的探讨中低位直肠癌前切除术后吻合口漏发生的原因、早期诊断及防治措施。方法回顾性分析颍上县人民医院肿瘤外科2006年1月-2010年12月43例中低位直肠癌前切除术后发生6例吻合口漏原因、诊断及治疗情况。结果 6例术后吻合口漏患者1例经引流、营养支持等非手术措施治愈,5例患者非手术治疗同时行结肠造口治愈。结论吻合口漏发生的原因与患者的营养状况、术前的肠道准备、术中的手术方式与技术以及术后的营养支持有关,围手术期采取必要的预防性措施,有助于降低吻合口漏的发生。
Objective To investigate the causes, early diagnosis and prevention of anastomotic leakage after low and middle rectal cancer resection. Methods Retrospective analysis of Yingshang County People’s Hospital oncology surgery 2006 January - 2010 December 43 cases of low and middle rectal cancer after resection of 6 cases of anastomotic leakage causes, diagnosis and treatment. Results Six cases of anastomotic leakage were cured by non-operative measures such as drainage and nutritional support. Five cases were treated by colostomy without operation. Conclusions The causes of anastomotic leakage are related to the patient’s nutritional status, preoperative bowel preparation, intraoperative surgical methods and techniques, and postoperative nutritional support. Perioperative preventive measures are necessary to reduce the anastomosis Oral leakage occurred.