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目的探讨直肠癌前切除或低位前切除术后盆腔内连续灌洗法防治吻合口瘘的作用。方法将１９９５年１月至１９９８年６月间我院收治直肠癌行直肠前切除（ＡＲ）或低位直肠前切除（ＬＡＲ）７４例随机分为２组，一组进行连续灌洗，另一组常规引流对照观察。结果灌洗组无瘘发生，而对照组瘘发生率为１３５％（５／３７），两组比较差异有显著意义（Ｐ＝００１１５）。结论连续灌洗法可有效清除吻合口周围的血液和坏死组织，是防治吻合口瘘的一项有效措施。
Objective To investigate the role of continuous lavage in the treatment of anastomotic leakage after anterior resection or low anterior resection of rectal cancer. Methods From January 1995 to June 1998, 74 patients with rectal cancer underwent rectal resection (AR) or low rectal anterior resection (LAR) were randomly divided into 2 groups. One group was treated with continuous lavage and the other group was treated with continuous lavage. Conventional drainage control observation. Results No fistula occurred in the lavage group, but the incidence of delirium in the control group was 13.5% (5/37). There was significant difference between the two groups (P=0.0115). Conclusion Continuous lavage can effectively remove blood and necrotic tissues around the anastomosis, which is an effective measure to prevent and treat anastomotic leakage.