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目的探讨低位直肠癌新辅助放疗低位前切除术大网膜成形袖套覆盖吻合口预防术后吻合口漏的作用。方法将低位直肠癌121例,行新辅助放疗低位前切除术,其中60例(治疗组)术中常规吻合后用大网膜成形袖套覆盖吻合口,61例(对照组)术中仅常规吻合,观察两组患者术后的临床疗效。结果治疗组60例均无吻合口漏发生,对照组61例中有6例(9.8%)出现吻合口漏,治疗组吻合口漏发生率低于对照组差异有统计学意义(P<0.05)。结论大网膜成形袖套覆盖吻合口是预防低位直肠癌新辅助放疗低位前切除术后吻合口漏的有效方法之一。
Objective To investigate the effect of anastomosis covered with anastomosed omentum in the treatment of low rectal cancer with neoadjuvant radiotherapy. Methods 121 patients with low rectal cancer underwent neoadjuvant radiotherapy for low anterior resection. Among them, 60 patients (treatment group) received anastomosis with omentum sleeve after routine anastomosis, and 61 patients (control group) Anastomosis, observed two groups of patients after the clinical efficacy. Results There was no anastomotic leakage in the 60 cases in the treatment group, and 6 cases (9.8%) in the control group showed anastomotic leakage. The incidence of anastomotic leakage in the treatment group was lower than that in the control group (P <0.05) . Conclusions The omentum sleeve anastomosis is one of the effective ways to prevent anastomotic leakage after neoadjuvant radiotherapy for low rectal cancer.