直肠癌低位前切除术吻合口漏的治疗效果观察

Low Before Colorectal Cancer Resection Anastomosis Leak in Treatment Effect Observed

目的观察直肠癌低位前切除术吻合口漏的治疗效果。方法将100例行根治性前切除术的直肠癌患者随机分为观察组和对照组(各50例),观察组行盲肠管道式造口持续减压,对照组行常规手术。结果观察组的漏后进食时间及住院时间均显著短于对照组(P<0.05),吻合口漏及其他并发症发生率均显著低于对照组(P<0.05)。结论在低位前切除术中行盲肠管道式造口持续减压,可有效降低术后吻合口漏发生率。

Objective Observe the cecum pipeline stoma sustained pressure before treatment of colorectal cancer resection low anastomotic leakage effect.Methods Patients with colorectal cancer before the need radical resection of 100 cases were randomly divided into observation group and control group（n=50）,observation group underwent cecal pipeline stoma sustained pressure,and the control group underwent conventional surgery.Results Leakage observation group after eating time and hospital stay were significantly shorter than the control group （P〈0.05）,anastomotic leakage and other complications were significantly lower than the control group （P〈0.05）. Conclusion Low anterior resection BOC cecal stoma sustained pressure pipeline,which can effectively reduce the incidence of postoperative anastomotic leak.