吻合器在中低位直肠癌保肛术中的应用体会.docVIP

吻合器在中低位直肠癌保肛术中的应用体会 侯培华 (山东金岭铁矿医院外科山东淄博255081) 【摘要】目的探讨吻合器在中低位直肠癌保肛术中的合理使用及技术操作 细节。方法选取2006年3月至2012年3月我院应用吻合器治疗的42例中低位 直肠癌患者，分析临床资料，总结经验教训及体会。结果木组病例发生吻合口 瘘2例(占4.7%),经引流管冲洗4?8周愈合，吻合UI狭窄1例(占2.4%)。术后 随访8个月?5年，平均30个月，2例患者术后肿瘤复发及肝转移死亡。术后排 便2?8次，调节饮食及使用药物控制，6?15个只排便习惯基木正常。结论使 用吻合器治疗中低位直肠癌，要有效降低手术并发症，使中低位直肠癌的保肛治 疗更加有保障，必须注重吻合器的合理正确使用及技术操作细节。 【关键词】吻合器中低位直肠癌保肛术 【中图分类号】R735.3+7 【文献标识码】A 【文章编号】2095-1752 (2014) 13-0208-02 Experience of stapling device in the management of low rectal carcinoma HOU Pei-hua, Department of general surgery,Shandong Jinling Iron Mine Hospital,Zibo 255081,China Corresponding author:Hou Pei-hua,E-mail: HYPERLINK mailto:yy067717@126.comyy067717@126.com 【Abstract】 Objective To investigate the anastomat in low rectal cancer in the rational use of the operation of anus and technical details.Methods From 2006 March to 2012 March in our hospital using stapler treatment 42 patients with low rectal cancer patients, analysis of clinical data, summarize the experience and lessons and experience.Rezults In the group of patients with anastomotic fistula in 2 cases (4.7%), the flushing drainage tube 4?8 weeks of healing, anastomotic stenosis in 1 cases (2.4%).Patients were followed up for 8 months to 5 years, average 30 months,2 cases of patients with postoperative tumor recurrence and liver metastasis of death.Postoperative defecation 2?8 times, adjusting the diet and the use of drugs to control, 6?15 months basic normal bowel habits.Conclusion The use of stapler in the treatment of low rectal cancer, to effectively reduce the operation complications, anal sphincter preservation in the treatment of rectal cancer has more security, reasonable use and details technical operation must pay attention to the stapler. [Keywords] stapler middle and low rectal cancer anus preserving operation 直肠癌是我国常见的恶性肿瘤之?-，占整个消化道恶性肿瘤的第二位，而我 国直肠癌的发病特点以中低位多见，约占60%?70%。随着对直肠癌解剖学研究 的进步及生物学行为认识的深入，保肛手术成为更多医生及直肠癌患者的选择。 而吻合器技术的发展使其在保肛手术中应用更加广泛。我们2006年3月至2012 年3月应用吻合器对42例中低位直肠癌患者实施了保肛治疗，取得良好效果