| 朱海星,何新阳,左宁,朱海,陈志强,金荣,刘成业.带气囊肛管预防直肠癌前切除术后吻合口瘘的效果[J].中国临床保健杂志,2018,21(3):413-415. |
| 带气囊肛管预防直肠癌前切除术后吻合口瘘的效果 |
| Clinical observation of transanal tube with gasbags usage after eectal cancer anterior resection for prophylaxis of anastomotic leakage |
| 投稿时间：2017-12-17 |
| DOI：10.3969/J.issn.1672-6790.2018.03.032 |
| 中文关键词: 直肠肿瘤 吻合口瘘 肛管 减压 引流术 |
| 英文关键词: Rectal neoplasms Anastomotic leak Anal canal Decompression Drainage〖FL |
| 基金项目: |
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| 中文摘要: |
| 目的 评估直肠癌前切除术后肛门内置引流管减压引流预防吻合口瘘的有效性和安全性。方法回顾性分析102例行低位直肠癌前切除术患者的临床资料,术后在肛门内放置前段带气囊肛管减压引流的48例患者作为观察组,术后肛门内不放置引流管的54例患者作为对照组,比较两组术后吻合口瘘的发生率及瘘后二次手术率。结果 观察组48例术后发生吻合口瘘1例(2.08％),对照组54例术后发生吻合口瘘7例(12.96％),两组结果比较,差异有统计学意义(P＜0.05)。观察组吻合口瘘患者经保守治疗后出院,无二次手术；对照组有5例患者行二次手术治疗,观察组二次手术率低于对照组。结论 带气囊肛管对直肠癌前切除术后吻合口有支撑保护作用,可减少术后吻合口瘘的发生,并可降低吻合口瘘的二次手术率。 |
| 英文摘要: |
| Objective To assess the effectiveness and safety of transanal tube with gasbags drainage and decompression on prevention from anastomotic leakage after anterior resection for rectal cancer.Methods The data of anterior resection of rectal cancer in 102 cases was analyzed retrospectively.The patients were divided into observation group (48 cases) and control group (54 cases),which depends on whether the transanal tube with gasbags is placed after surgery or not.The incidence of postoperative anastomotic leakage and re-operation rate were compared between the two groups.Results One case of anastomotic leakage occurred in the 48 cases in the observation group,the incidence of anastomotic leakage was 2.08％.Meanwhile,seven cases of anastomotic leakage occurred in the 54 cases in the control group,the incidence of anastomotic leakage was 12.96％.There was statistical significance between the incidences of anastomotic leakage of the cases in the two groups (P＜0.05).The patients with anastomotic leakage in the observation group were cured by conservative treatment and had no re-operation.Five patients with anastomotic leakage in the control group were performed with re-operation.The re-operation rate of the patients in the observation group was lower than that in the control group.Conclusions The use of transanal tube with gasbags after anterior resection plays a role in supporting and protecting the anastomotic stoma.It can reduce the incidence of postoperative anastomotic leakage after anterior resection and the re-operation rate. |
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