摘要: |
吻合口漏是直肠癌患者保肛术后最严重的并发症之一,其危险因素与患者、医疗、麻醉和手术等相关。吻合口漏重在预防,主要措施为术中检查吻合情况,保证吻合肠管血供、腹/盆腔引流、保护性造口和留置肛管。鉴别相关危险因素,降低吻合口漏的发生对改善患者结局有重要的临床意义。 |
关键词: 直肠癌 吻合口漏 危险因素 预防 |
DOI:10.12025/j.issn.1008-6358.2021.20210259 |
分类号:R735.3+7 |
基金项目:复旦大学复星护理科研基金面上项目(FNF202007). |
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High-risk factors and prevention of anastomotic leakage after anterior rectal resection |
HU Yan1, YAN Ya-min1, LIU Feng-lin2
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1.Department of Nursing, Zhongshan Hospital, Fudan University, Shanghai 200032, China;2.Department of Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China
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Abstract: |
Anastomotic leakage is one of the most serious complications after anus preserving operation in rectal cancer patients. Risk factors include patient-related factors, therapy-related factors, anesthesia and surgical-related factors. The main prevention measures include intraoperative examination of anastomosis, assurance of blood supply of anastomotic intestine, abdominal/pelvic drainage, protective stoma and transanal drainage. Identify risk factors and decrease the occurrence of anastomotic leakage are important for the improvement of patient outcomes. |
Key words: rectal cancer anastomotic leakage risk factor prevention |