直肠癌前切除术后吻合口瘘的防治体会
【中图分类号】R735【文献标识码】B【文章编号】1672-5085(2007)09-0105-02【摘要】直肠Ca是一种觉见的恶性肿瘤,传统上对距肛门7~8厘米的直肠Ca病人行直肠癌前切除术,即Dixon手术。随着对直肠癌Ca研究的深入,肿瘤安全切缘2cm的观念的普及,手术方式的改进以及现代医疗设备的应用,使原来只能改道的病人有了保肛的可能。但吻合口瘘是该术式最常见的一种并发症。降低吻合口瘘的发生率和提高其治愈率是临床工作的重点。
【关键词】直肠癌前切除术 吻合口瘘 术前准备 防治体会
In front of after the Rectal Cancer the excision method kisses unite buccal fistula preventing and controlling to realize Jiang Haiyan Kang Xuhui Huang Dongfeng
【Abstract】rectum Ca is the m alignant tumor which one kind sense sees, in the tradition to is apart from anus 7~8 in front of the centimeter rectum Ca patient good Rectal Cancer the excision method, namely Dixon surgery. Along with direct cancer of the intestines Ca research thorough, the tumor safely cuts reason 2cm the idea popularization, the surgery way improvement as well as the modern medical equipment application, enable the patient which originally only can change course to have has guaranteed the anus the possibility. But kisses unite buccal the fistula is this technique type most common one kind of illness complication. Reduces kisses unite buccal the fistula formation rate and enhances it curing rate is the clinical work key point. ......
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