预防低位直肠癌术后吻合口漏的进展

顿 潇1, 陈 首李1, 刘 威*2
1、大理大学
2、楚雄彝族自治州人民医院

摘要


低位直肠癌术后吻合口漏是严重影响患者预后和生活质量的重要并发症,其发生率仍较高,已成为胃肠
外科领域关注的重点问题。本文通过查阅近年来国内外相关文献,对低位直肠癌术后吻合口漏的定义与诊断、术
前危险因素及预防措施、手术技术干预方法以及术后监测策略等方面的研究进展进行综述。重点总结了预防性造
口、肛管引流管、可降解支架肠道转流术、经肛覆膜支架、自发性闭合套管回肠造口术及粪便转流装置等新型技
术的应用效果及其优缺点。通过系统梳理相关研究,为临床合理选择预防策略、降低吻合口漏发生率及改善患者
预后提供参考。

关键词


低位直肠癌;吻合口漏;预防策略

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参考


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