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目的分析中低位直肠癌全系膜切除术后吻合口瘘发生的原因及防治措施。方法对125例行全系膜切除术的中低位直肠癌患者的临床资料进行回顾性分析,将患者分为吻合口瘘及无吻合口瘘两组。结果 125例患者施行直肠癌全系膜切除术后,出现吻合口瘘12例,占9.6%,均通过有效的处理措施得到满意的治疗效果。结论吻合口瘘是中低位直肠癌全系膜切除术后最主要的并发症之一,通过了解吻合口瘘常见的发生原因,并在不同阶段做好防治措施,从而避免和减少吻合口瘘的发生。
Objective To analyze the causes and prevention and treatment of anastomotic leakage after total mesorectal excision in mid-low rectal cancer. Methods We retrospectively analyzed the clinical data of 125 patients with midline and low rectal cancer undergoing total mesorectal excision. The patients were divided into two groups: anastomotic leakage and non-anastomotic hernia. Results After total mesorectal excision of rectal cancer was performed in 125 patients, there were 12 cases of anastomotic fistulas, accounting for 9.6%. All of them were treated with effective treatments to obtain satisfactory results. Conclusion Anastomotic fistula is one of the major complications after total mesorectal excision of middle and low rectal cancer. By understanding the common causes of anastomotic leakage, and taking preventive measures at different stages, the anastomotic leakage can be avoided and reduced. occur.