直肠癌术后吻合口狭窄处理.docVIP

直肠癌术后吻合口狭窄处理 　　摘 要 目的：探讨直肠癌术后吻合口狭窄的处理方法。方法：收治直肠癌患者208例，术后发生并发症吻合口狭窄13例，11例采用保守大肠内镜下气囊扩张术，余2例采取结肠造瘘。结果：8例经1次扩张，3例经2次扩张，2例经结肠造瘘，狭窄均被改善，直径约2.0～2.5cm。结论：直肠癌术后吻合口狭窄是多因素影响的结果，因此，应严格掌握临床指征，确定适合的处理方法。? 　　摘 要 目的：探讨直肠癌术后吻合口狭窄的处理方法。方法：收治直肠癌患者208例，术后发生并发症吻合口狭窄13例，11例采用保守大肠内镜下气囊扩张术，余2例采取结肠造瘘。结果：8例经1次扩张，3例经2次扩张，2例经结肠造瘘，狭窄均被改善，直径约2.0～2.5cm。结论：直肠癌术后吻合口狭窄是多因素影响的结果，因此，应严格掌握临床指征，确定适合的处理方法。? 　　关键词 直肠癌 并发症 吻合口狭窄 结肠造瘘? 　　关键词 直肠癌 并发症 吻合口狭窄 结肠造瘘? 　　doi:10.3969/j.issn.1007-614x.2012.06.040?? 　　doi:10.3969/j.issn.1007-614x.2012.06.040?? 　　Abstract Objective:To exeplore the processing method of anastomotic stricture after rectal cancer.Methods:208 patients confirmed as having rectal cancer from July.2006 to June.2011 were enrolled,underwent surgical resection opration cure.Postoperative syndrome anastomotic stenosis in 13,11cases by the conservative e.endoscopic balloon dilatation,2 cases take colon colostomy.Results:Among the 13 cases of anastomosis stricture,8 cases by 1 times dilate,3 cases by 2 times,2 cases for colon colostomy.narrow were improved.The diameter is about 2.0～2.5cm.Conclusion:Colorectal cancer postoperative anastomotic stricture was the result of the multiple factors,so we should be controlled strictly clinical indications,determine suitable processing method.? 　　Abstract Objective:To exeplore the processing method of anastomotic stricture after rectal cancer.Methods:208 patients confirmed as having rectal cancer from July.2006 to June.2011 were enrolled,underwent surgical resection opration cure.Postoperative syndrome anastomotic stenosis in 13,11cases by the conservative e.endoscopic balloon dilatation,2 cases take colon colostomy.Results:Among the 13 cases of anastomosis stricture,8 cases by 1 times dilate,3 cases by 2 times,2 cases for colon colostomy.narrow were improved.The diameter is about 2.0～2.5cm.Conclusion:Colorectal cancer postoperative anastomotic stricture was the result of the multiple factors,so we should be controlled strictly clinical indications,de