改良冲洗法在直肠癌Dixon术后吻合口瘘中的应用

摘要

目的：探讨改良冲洗法应用于直肠癌低位前切除术(Dixon手术)后吻合口瘘的临床效果。方法：回顾性分析泸州医学院附属医院438例Dixon手术中39例吻合口瘘患者的治疗方法，根据冲洗方法不同将吻合口瘘患者分为传统冲洗组(23例)和改良冲洗组(16例)，对患者的疗效进行对比分析。结果：本研究直肠癌术后吻合口瘘的发生率为8.9%(39/438)，39例吻合口瘘患者经过非手术治疗均治愈。对比分析两组治疗效果，改良组患者引流管开口周围皮肤清洁程度明显高于传统组，而患者平均住院时间以及引流管拔出时间均短于传统组(均P<0.05)。结论：改良冲洗法相对于传统法更适用于直肠癌术后吻合口瘘患者，患者或家属均可操作，值得在临床中推广与使用。%Objective: To investigate clinical effect of improved flushing method applied in anastomotic leakage (AL) atfer low anterior resection for rectal cancer. Methods: We performed a retrospective study to analyze the therapeutic effect for 39 AL from 438 patients who received Dixon surgery in the Affliated Hospital of Luzhou Medical College. Among them, 23 patients received the traditional lfushing method (the traditional group) and 16 received the improved lfushing method (the improved group). Results: hTe rate of AL was 8.9% (39/438). All patients were cured with non-operative treatment. hTe cleanliness degree of the surrounding skin of drainage tube in the improved group was higher than that in the traditional group. hTe duration of average hospitalization and extubation of drainage tube was shorter in the improved group than that in the traditional group (P<0.05). Conclusion: Compared with the traditional methods, the improved one is better for the ALpatients. Both the patients themselves or their family members can chose it. hTe improved lfushing method is worth to be spread in clinic.