气管插管导管预防性回肠造瘘插管在低位直肠癌前切除术中的应用
Zhejiang Journal of Integrated Traditional Chinese and Western Medicine(2017)
Abstract
腹腔镜等微创外科及外科手术技巧已日趋成熟,但并未明显降低低位直肠癌前切除术后吻合口瘘的发生率.低位直肠癌前切除术后吻合口瘘一直困扰着肛肠外科临床医生.术后吻合口瘘的发生往往增加围手术期风险,延长患者住院时间,增加患者经济负担.研究[1]表明,预防性造口可以降低术后吻合口瘘的发生率.笔者对高危直肠癌患者,应用气管插管导管经末端回肠行插管造瘘术,预防吻合口瘘发生,取得良好效果,现报道如下.
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