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目的研究分析低位直肠癌dixon术后吻合瘘的原因和防治方法。方法选择本院从2008年4月~2013年4月收治的低位直肠癌患者成功行dixon术的120例。对所有患者首先进行直肠癌根治术,采取的手术方法为直肠全系膜切除术,然后再依据不同患者的具体情况选择最合适的吻合器进行吻合。结果所有的120例患者吻合成功,所有患者在7~10 d拆线,出现吻合口瘘的患者有11例。随访5年内没有患者死亡。结论出现吻合口瘘主要有全身、局部和手术操作的原因,术前及术后采取一定措施可有效减少及处理术后吻合口瘘。
Objective To study the causes and prevention and cure of anastomotic fistula after dixon surgery of low rectal cancer. Methods A total of 120 patients with low rectal cancer who underwent dixon surgery in our hospital from April 2008 to April 2013 were selected. All patients were first rectal cancer radical surgery, surgical approach taken for total mesorectal excision, and then based on the specific circumstances of different patients choose the most suitable stapler for anastomosis. Results All 120 patients achieved anastomosis successfully. All patients were stitched offline at 7-10 days. There were 11 patients with anastomotic fistula. No patient died within 5 years of follow-up. Conclusions Anastomotic fistula mainly causes systemic, local and surgical operation. Preoperative and postoperative measures can effectively reduce and treat anastomotic fistula.