低位直肠癌术后吻合狭窄原因与预防
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[摘 要] 目的：分析低位直肠癌术后吻合口狭窄的原因及预防对策。方法：分析102例低位直肠癌手术患者的资料，对手术方法、吻合口位置与吻合口狭窄发生率的关系进行分析。结果：发生吻合口狭窄8例(7.84%)，与吻合口至肛门的距离、吻合口瘘等因素相关。结论：低位直肠癌发生术后吻合狭窄与吻合口瘘及吻合口位置有关，术中应保留有效血供、避免脂肪组织的夹杂、合理选择吻合方法。可减少术后吻合狭窄。
[关键词] 低位直肠癌；吻合口狭窄；原因；预防
[Abstract] Objective: To analyze the low rectal anastomotic stenosis causes and preventive measures. Methods: 102 cases of patients with low rectal cancer surgery information on surgical techniques, anastomotic location and the incidence of anastomotic stricture analysis. Results: The anastomotic stenosis occurred in 8 cases (7.84%), and the distance from the anastomosis to the anus, and other factors related to anastomotic leakage . Conclusion: low rectal anastomotic stricture and anastomotic leakage and location of the anastomosis, surgery should be maintained in effective blood supply, to avoid inclusion of adipose tissue, a reasonable choice of anastomosis.
[Key words] rectal cancer; anastomotic stenosis Reason; prevention
近些年来随着全直肠系膜的切除手术的推广和双吻合技术应用普及 ......
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