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国产单吻合器在直肠癌前切除术中的应用
http://www.100md.com 《新疆医科大学学报》 2005年第8期
国产,,直肠癌;,前切除术;,吻合器;,并发症,1资料与方法,2结果,3讨论,参考文献:
     摘要: 目的: 了解使用国产一次性单吻合器行中低位直肠癌前切除术的外科效果。方法: 回顾性分析我院2003年8月~2004年10月采用国产单吻合器行中低位直肠癌前切除术72例的临床资料,对其疗效、安全性及并发症进行分析。结果: 72例中Dukes分期:A期18例,B期29例,C期25例。9例(12.5%)出现术后并发症,吻合口瘘5例(6.94%),伤口感染2例(2.77%);切口疝2例(2.77%);低位前切除45例中,3例(6.67%)控便不良,有正常便意,可控制半成形便,对稀便及水样便控制较差。结论: 应用国产一次性单吻合器技术进行直肠癌前切除手术安全性好,经济实用,中低位直肠癌保肛成功率高,对预后无不良影响。

    关键词: 直肠癌; 前切除术; 吻合器; 并发症

    The application of domestic single anastomat in the surgry of the anteriorresection for rectal cancer

    WANG Haijiang, YIN Dong, CHEN Peng, et al

    (First Departmant of Surgical Oneology, Affiliated Tumor Hospital,Xinjiang Medical University, Urumqi 830011, China)

    Abstract: Objective: To evaluate the surgical value of domestic single anastomate in surgry of the anterior resection for rectal cancer. Methods: Clinic data of 72 patients with rectal cancer undergone the anterior resection in our department from August 2003 to October 2004 were reviewed. Among them there were Dukes A 18 cases, Dukes B 29 cases, and Dukes C 25 cases. Results: The incindence of complication was 12.5% (9 cases). 5 cases with anastomotic leakage (6.94%), 2 cases with infection of incinsional wound(2.77%); 2 cases with incisional hernia(2.77%). 45 cases underwent low anterior resection, 3 cases (6.67%) had nomal awareness of defecation, could dominate semiformed stool,but could not dominate sparse stool and watery stool well. Conclusions: The surgry of the low anterior and sphinctersaving resection with domestic single anastomate was safe and credible;The application of domestic single anastomat in the surgry of the anterior resection for rectal cancer is econmical and practical. ......

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