肛管引流在经腹直肠癌切除术(Dixon)中的应用-外科学专业论文.docxVIP

万方数据 万方数据 Application of Transanal Tube Drainage in Low Anterior Resection（Dixon） Major: Surgery Postgraduate: Gang Wang Supervisor: Ruyi Zhang [Abstract] Objective: To investigate the effects of transanal tube drainage on the postoperative recovery of flatus and defecation as well as postoperative complications related to anastomotic leakage, so as to provide guidance for clinical treatment. Methods: The clinical data of 115 patients undergoing Dixon operation in the Affiliated Hospital of Guiyang Medical College between September 2012 and November 2014 were collected, and the patients were divided into the transanal tube drainage group and non- transanal tube drainage group according to whether anal drainage was performed after operation. Statistical analysis was performed on the clinical data of two groups to learn about the incidence of postoperative abdominal distention and the time of first flatus and defecation as well as the incidence of anastomotic leakage and unplanned reoperation, make univariate and multivariate analysis on the influencing factors for anastomotic leakage, and compare the duration and cost of postoperative hospitalization between two groups. Results: (1) The incidence of postoperative abdominal distention and the time of first flatus and defecation were lower in the transanal tube drainage group than in the non- transanal tube drainage group. (2) The incidence of anastomotic leakage was 6.35% for the transanal tube drainage group and 11.54% for the non- transanal tube drainage group, and the two groups had no statistically significant difference. After occurrence of anastomotic leakage, the need for unplanned reoperation in the transanal tube drainage group was less than that in the non- transanal tube drainage group, and the two groups had statistically significant difference. (3) The risk factors for anastomotic leakage were age, preoperative Hb, preoperative Alb and the distance from tumor to anus. (4) Both the duration and cost of pos