摘要
目的 探讨直肠癌术后双管引流防治直肠癌吻合口瘘的作用。方法 将1998年1月～2005年3月行直肠前切除术（Dixon术）的108例直肠癌患者随机分为两组；治疗组（52例）行双管引流，即一根气囊肛管经肛门置肠腔内，气囊在吻合口以上，另一根普通乳胶引流管经肛门置吻合口以下；对照组（56例）行单管引流法，即常规普通肛管引流。结果 治疗组吻合口瘘发生率为1．9％（1／52），而对照组为14．3％（8／56），两组相比差异有统计学意义（P〈0．05）。结论 双管引流法能有效地阻止肠内容物对吻合口的污染，并降低吻合口内压，是防治吻合口瘘安全可行的方法之一。
Objective To evaluate the prevention and treatment effect of double- tube- drainage （DTD） method on anastomotic fistula（AF） after surgexy of rectal carcinoma. Method One hundred and eight cases of rectal carcinoma with Dixon＇s operation （from january 1998 to March 2005） were divided randomly into 2 groups： treatment group 52 cases underwent DTD, control group was 56 cases received a tube drainage. Results The incidence of anastomotic fistula were 1.9 % and 14.3 % in treatment group and control group, respectively. There was a significant difference between treatment group and control group （ P 〈 0.05）. Conclusion DTD is a safe and viable way to prevent and treat anastomotic fistula, which can relieve the pollution of intestinal content on anastomosis and reduce the pressure of anastomosis.
出处
《中国医师进修杂志（外科版）》
2006年第2期40-41,45,共3页
Chinese Journal of Postgraduates of Medicine
关键词
直肠肿瘤
手术
瘘
引流法
Rectal neoplasm
Operation
Fistula
Drainage
