摘要
目的:探讨直肠癌术后吻合口瘘的相关因素。方法:回顾性分析近5年来收治的134例直肠癌行直肠癌根治性保肛术后患者的临床资料。结果:134例直肠癌共发生吻合口瘘14例,发生率为10.45%。其中男性患者,年龄大于65岁者,长期吸烟酗酒者,低蛋白者,糖尿病者,伴肠梗阻者及肿瘤距肛门距离小于7cm者易发生吻合口瘘;而不同手术方式及临床分期吻合口瘘的发生无明显不同。结论:直肠癌行根治术后吻合口瘘发生率与患者自身因素、肿瘤本身、手术者的操作技巧等因素有关。
Objective：To investigate related factors of anastomotic leakage after resection for rectal carcinoma. Method ：Clinical data of 134 cases in recent 5 years of rectal carcinoma after radical anus-preserving resection were retrospectively analyzed. Result： Of the 134 cases, 14 cases developed anastomotic leakage, the occurrence rate was 10.45 %. The patients with male, over 65 years, smoking and alcohol abuse, hypoproteinemia, diabetes, intestinal obstruction and distance of tumor from anal verge less than 7cm developed anastomotic leakage easily, while the patients with different anastomosis way and clinical stage had no relation in anastomotic leakage occurrence. Conclusion： The rate of anastomotic leakage after radical anus - preserving resection was related to personal factors, tumor factors, technique skill of operator.
出处
《河北医学》
CAS
2009年第5期570-572,共3页
Hebei Medicine
关键词
直肠癌
根治性切除术
吻合口瘘
Rectal cancer
Radical resection
Anastomotic leakage
