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经肛直肠拖出吻合术后吻合口漏剖析

CAUSE OF ANASTOMOTIC LEAKAGE AFTER TRANSANAL RECTUM PULLING OUT RESECTION AND COLORECTAL ANASTOMOSIS

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【作者】 梁君林; 高枫; 陈利生; 唐宗江; 张志勇;

【Author】 Liang Junlin, Gao Feng, Chen Lisheng, et al (Department of Coloproctologic Surgery, the First Affiliated Hospital of Guangxi Medical University, Nanning, 530021)

【机构】 广西医科大学第一附属医院大肠肛门病外科!南宁530021;

【摘要】 目的:探讨经肛直肠拖出吻合术后吻合口漏的原因及对策。方法:回顾分析114例直肠癌经肛直肠拖出吻合术后11例吻合口漏,对相关的因素进行总结分析。结果:吻合口漏是多因素作用的结果,术后低白蛋白血症、贫血和手术操作是重要的原因。结论:应采取综合措施预防吻合口漏发生。

【Abstract】 ve: To analyze the cause of anostomotic leakage after transanal rectum pulling out resection and colorectal anastomosis for rectal carcinoma, and to explore the measures for prevention. Methods: Retrospective anlysis was made on 11 cases of anastomotic leakage after transanal rectum pulling out resection and colorectal anastomosis for rectal carcinomas from 1993 to 1999. The relative factors were discussed. Results: Multiple factors influenced the occurrence of anastomotic leakage. Postoperative anemia hypoal bummemia and surgical teckniques were important factors in the development of anostomotic leakage. Conclusion: Comprehensive measures should be taken to prevent anostomotic leakage.

【关键词】 直肠癌; 吻合口漏; 原因;
【Key words】 rectal neoplasm; anastomotic leakage; cause;
  • 【文献出处】 大肠肛门病外科杂志 ,Journal of Coloproctological Surgery , 编辑部邮箱 ,1999年04期
  • 【分类号】R657.1
  • 【下载频次】24
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