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目的探讨低位直肠癌保肛的风险。方法回顾分析近3 a收治的35例低位直肠癌行DIXON术的临床资料。结果 35例中共发生吻合口瘘6例,发生率为17.14%,其中男性、老年患者、伴有糖尿病、手术者手术经验、术后近期并发症、肿瘤位置等因素与吻合口瘘发生关系密切。结论低位直肠癌行保肛治疗术后吻合口瘘与患者自身因素、肿瘤位置、手术者的操作技巧等因素相关。
Objective To investigate the risk of anal retention in low rectal cancer. Methods The clinical data of 35 cases of low rectal cancer treated with DIXON during the past 3 years were retrospectively analyzed. Results Sixty-five cases of anastomotic fistula were found in 35 cases. The incidence rate of anastomotic leakage was 17.14%. Among them, male, elderly patients with diabetes, surgical experience, postoperative complications and tumor location were closely related to anastomotic fistula. Conclusion Low anal rectal cancer after anal anastomosis fistula with the patient’s own factors, tumor location, surgical techniques and other factors related to surgery.