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目的探讨直肠癌前切除术(AR)后并发症的发生情况和治疗方法。方法回顾性分析2011年1月至2013年12月间接受AR治疗的350例患者临床资料,分析并发症发生情况、危险因素和预防措施。结果 350例患者中,3例(0.9%)发生吻合口大出血,11例(3.1%)发生吻合口狭窄,9例(5.6%)发生吻合口瘘。吻合口瘘的发生与男性、手工吻合、手术前中重度贫血和低蛋白血症相关(P<0.05)。350例患者均经严密治疗和护理后痊愈。结论 AR后可发生吻合口大出血、吻合口狭窄和吻合口瘘等严重并发症,应严格掌握手术适应证,充分做好手术前准备,手术中及手术后严密观察,以便预防、及时发现和处理并发症,改善临床预后。
Objective To investigate the incidence and treatment of complications after rectal cancer resection (AR). Methods The clinical data of 350 patients receiving AR from January 2011 to December 2013 were retrospectively analyzed. The incidence of complications, risk factors and preventive measures were analyzed. Results Of the 350 patients, anastomotic bleeding was found in 3 cases (0.9%), anastomotic stenosis in 11 cases (3.1%) and anastomotic fistula in 9 cases (5.6%). Anastomotic fistula occurred with male and manual anastomosis, moderate to severe preoperative anemia and hypoproteinemia (P <0.05). 350 patients were cured and cured after close treatment. Conclusion Severe complications such as anastomotic bleeding, anastomotic stenosis and anastomotic fistula may occur after AR. The surgical indications should be strictly controlled, and the preoperative preparation, intraoperative and postoperative observation should be fully performed so as to prevent, promptly find and deal with Complications, improve clinical outcome.