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目的探讨直肠癌Dixon术后吻合口瘘防治对策。方法回顾分析我院1991年10月-2006年10月直肠癌Dixon手术166例并发吻合口瘘12例的临床资料。结果直肠癌Dixon术后吻合口瘘12例,均于术后3-10d内作出诊断,10例经非手术治疗痊愈,1例中转手术,1例术后3d并发弥漫性腹膜炎,再次行横结肠造口术,3个月后再次手术回纳造口结肠,最终痊愈出院,本组无一例死亡。结论术后病人症状体征及引流情况改变是早期诊断的依据,诊断一经确定,应积极争取综合的治疗措施,大多数可经非手术治疗痊愈,术前满意的肠道准备及术中仔细操作可减少吻合口瘘的发生,保持骶前引流通畅是防治吻合口周围积液的重要措施。
Objective To investigate the prevention and treatment of anastomotic fistula after Dixon rectal cancer. Methods The clinical data of 166 patients with anastomotic fistula in our hospital from October 1991 to October 2006 were retrospectively analyzed. Results 12 cases of anastomotic fistula after Dixon rectal cancer were diagnosed within 3-10 days after operation, 10 cases were cured by non-surgical treatment, 1 case was transfered and 1 case was complicated with diffuse peritonitis after operation. Transverse colic Mouth surgery, 3 months after the surgery to return to the stoma, and finally discharged, no deaths in this group. Conclusion The postoperative symptoms and signs of patients and changes in drainage is the basis for early diagnosis, once diagnosed, should actively seek comprehensive treatment measures, most of which can be cured by non-surgical treatment, preoperative bowel preparation and careful surgery can be Reduce the occurrence of anastomotic fistula, to maintain smooth flow of presacral drainage is an important measure to prevent and treat fluid around the anastomosis.