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目的 探讨预防直肠癌Dixon术吻合口瘘的方法。方法 回顾总结近10年我们预防162例直肠癌Dixon术吻合口瘘的方法。其中包括病人一般状况的调整,术前肠道准备,术中腹腔灌洗,吻合技术要点及骶前引流方法的改进等。结果 本组吻合口瘘发生率为1.2％(2/162),较近年来诸学者报告的吻合口瘘发生率10％左右明显降低。结论 预防直肠癌Dixon术吻合口瘘采用综合性措施能够取得满意效果。
Objective To explore the method of preventing anastomotic fistula of Dixon technique in rectal cancer. Methods To review the methods we used to prevent 162 cases of rectal cancer Dixon anastomotic fistula in recent 10 years. Including the general adjustment of the patient’s condition, preoperative bowel preparation, laparoscopic intra-abdominal lavage, technical points of anastomosis and improvement of presacral drainage methods. Results The incidence of anastomotic fistula in this group was 1.2% (2/162), which was significantly lower than that of 10% reported by scholars in recent years. Conclusion The prevention of rectal cancer Dixon anastomotic fistula with comprehensive measures can achieve satisfactory results.