直肠癌保肛术后发生吻合口漏的临床研究

Clinical research of anastomotic leakage after rectal cancer surgery

目的 探讨直肠癌保肛术后发生吻合口漏的治疗方法.方法 选取本院2010年12月～2013年5月诊治的直肠癌保肛术后发生吻合口漏患者67例,随机分为两组,对照组33例患者采用传统引流袋治疗,观察组34例患者采用持续负压引流治疗,比较两组患者各项指征的恢复状况和治疗效果.结果 观察组患者体温恢复正常时间、血象恢复正常时间、拔管时间均明显小于对照组,差异均有统计学意义（P＜0.05）.观察组总有效率（100.0％）高于对照组（97.0％）,但组间差异无统计学意义（P＞0.05）.结论 持续负压引流是治疗直肠癌保肛术后吻合口漏的有效方法,可有效促进吻合口漏的愈合,改善患者病症,缩短患者术后恢复时间.

Objective To investigate treatment methods of anastomotic leakage after rectal cancer surgery. Methods 67 patients with anastomotic leakage after rectal cancer surgery were selected in our hospital from December 2010 to May 2013,and they were randomly divided into two groups.33 patients in control group were treated with traditional drainage bag.34 patients in observation group were treated with continuous negative pressure drainage. Recovery syn- drome of each index and treatment effect were Compared between two groups. Results Body temperature recovery time, hemogram recovery time ,extubation time in observation group were significantly less than control group,the difference was statistically significant （P〈O.05）. Total effective rate in observation group （100.0%） was higher than that in control group （97.0%）,the difference was not statistically significant （P〉0.05）. Conclusion Continuous negative pressure drainage is an effective method in treatment of anastomotic leakage after rectal cancer surgery, which can effectively promote healing of anastomotic leakage and improve symptoms. That can shorten postoperative recovery time.