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2023年7月 第38卷 第7期11
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三管引流法在防治直肠癌前切除术后吻合口漏中的应用

Application of three-tube drainage for the treatment of anastomotic leakage after low anterior resection for rectal cancer

来源期刊: 广州医药 | 77-79 发布时间:2021-11-25 收稿时间:2025/11/13 18:12:14 阅读量:7
作者:
关键词:
直肠癌直肠低位前切除术吻合口漏
Rectal cancerLow anterior resectionAnastomotic leakage
DOI:
10.3969/j.issn.1000-8535.2021.02.018
收稿时间:
2020-11-02 
修订日期:
 
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引用总数:
0  
目的 探讨应用三管引流法在防治直肠癌前切除术后吻合口漏中的疗效。方法 选取在我科2018年4月—2020年3月接受腹腔镜或者开腹直肠癌前切除术患者186例,将患者随机分为两组,研究组(三管引流法)96例,对照组(常规引流法)90例,进行对比研究。比较两组患者术后吻合口漏及恢复情况。结果 研究组患者吻合口漏发生率、非计划手术率、回肠造口率低于对照组(P<0.05),吻合口漏患者中,研究组体温恢复正常时间、C反应蛋白(CRP)恢复正常时间及住院时间均少于对照组,差异均有统计学意义(P<0.05)。结论 应用三管引流法,可预防直肠癌前切除术后吻合口漏,通过非手术治疗避免非计划二次手术,缩短吻合口漏患者恢复时间,显示更好的临床疗效。
Objective To explore and evaluate the clinical application value of three-tube drainage for the treatment of anastomotic leakage after low anterior resection for rectal cancer. Methods We retrospectively analyzed a total of 186 rectal cancer patients after low anterior resection for rectal cancer in our hospital from April 2018 to March 2020. According to the difference of prevention to anastomotic leakage, these patients were divided into two groups randomly that 90 cases used conventional drainage as control group, and 96 cases used three-tube drainage as study group. Postoperative recovery and anastomotic leakage were compared between these two groups. Results The rate of anastomotic leakage, ileostomy and unplanned reoperation of study group were lower than those of control group (P<0.05).The times returned to normal of body temperature and C-reactive protein (CRP), the average length of stay in hospital of study group were shorter than those of control group respectively (P<0.05). Conclusion The application of three-tube drainage may prevent anastomotic leakage and unplanned reoperation after low anterior resection for rectal cancer and shorten postoperative recovery time, to reveal better clinical effects.
1、 RONDELLI F,BUGIANTELLA W,VEDOVATI M C,et al. To drain or not to drain extraperitoneal colorectal anastomosis? A systematic review and meta-analysis[J].Int J Colorectal Dis,2014,16(2):35-42. RONDELLI F,BUGIANTELLA W,VEDOVATI M C,et al. To drain or not to drain extraperitoneal colorectal anastomosis? A systematic review and meta-analysis[J].Int J Colorectal Dis,2014,16(2):35-42.
2、 刘维波,邹德龄,王怀帅,等. 直肠癌前切除术吻合口漏术中预防策略[J].中华结直肠疾病电子杂志,2014,3(3):198-199. 刘维波,邹德龄,王怀帅,等. 直肠癌前切除术吻合口漏术中预防策略[J].中华结直肠疾病电子杂志,2014,3(3):198-199.
3、 CHEN H,CAI H K,TANG Y H,et al. An updated meta-analysis of transanal drainage tube for prevention of anastomotic leak in anterior resection for rectal cancer[J].Surg Oncol,2018,27(3):333-340. CHEN H,CAI H K,TANG Y H,et al. An updated meta-analysis of transanal drainage tube for prevention of anastomotic leak in anterior resection for rectal cancer[J].Surg Oncol,2018,27(3):333-340.
4、 叶颖江,刘凡. 直肠癌保肛术后吻合口漏的定义及诊断标准[J]. 中华胃肠外科杂志,2018,21(4):361-364. 叶颖江,刘凡. 直肠癌保肛术后吻合口漏的定义及诊断标准[J]. 中华胃肠外科杂志,2018,21(4):361-364.
5、 赵日升,汪挺. 结直肠吻合口漏术前、术中和术后危险因素的系统评价[J].中华胃肠外科杂志,2015,15(7): 729-731. 赵日升,汪挺. 结直肠吻合口漏术前、术中和术后危险因素的系统评价[J].中华胃肠外科杂志,2015,15(7): 729-731.
6、 柯海林,池畔,林惠铭,等. 直肠癌术后吻合口漏对长期预后的影响[J]. 中华胃肠外科杂志, 2015, 18(9): 920-924. 柯海林,池畔,林惠铭,等. 直肠癌术后吻合口漏对长期预后的影响[J]. 中华胃肠外科杂志, 2015, 18(9): 920-924.
7、 WALKER K G,BELL S W,RIEKARD M J,et al. Anastomotic leakage is predictive of diminished survival after potentially curative resection for colorectal cancer[J].Ann Surg,2004,240(2):255-259. WALKER K G,BELL S W,RIEKARD M J,et al. Anastomotic leakage is predictive of diminished survival after potentially curative resection for colorectal cancer[J].Ann Surg,2004,240(2):255-259.
8、 KAWADA K,SAKAI Y. Preoperative,intraoperative and postoperative risk factors for anastomotie leakage after laparoscopic low anterior resection with double stapling technique anastomosis[J].World J Gastroenterol,2016,22(25):5718-5727. KAWADA K,SAKAI Y. Preoperative,intraoperative and postoperative risk factors for anastomotie leakage after laparoscopic low anterior resection with double stapling technique anastomosis[J].World J Gastroenterol,2016,22(25):5718-5727.
9、 靖昌庆,陈悦之,田锋,等. 降低直肠癌根治术后吻合口漏发生率对策[J].中国实用外科杂志,2020,40(3):334-339. 靖昌庆,陈悦之,田锋,等. 降低直肠癌根治术后吻合口漏发生率对策[J].中国实用外科杂志,2020,40(3):334-339.
10、 SIEGEL R L, MILLER K D, JEMAL A. Cancer Statistics, 2017[J]. CA Cancer J Clin, 2017,67(1):7-30. SIEGEL R L, MILLER K D, JEMAL A. Cancer Statistics, 2017[J]. CA Cancer J Clin, 2017,67(1):7-30.
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