Davies A H, Bartolo D C, Richards A E, Johnson C D, McC Mortensen N J
Department of Surgery, Bristol Royal Infirmary.
Ann R Coll Surg Engl. 1988 Nov;70(6):345-7.
Thirty three patients having an anastomosis to the rectum were studied prospectively to determine the usefulness of intra-operative air testing. The pelvis was filled with saline and the anastomosis was distended with air. Any leaks demonstrated were oversewn. A Gastrografin enema was performed on all the patients on the eighth postoperative day. Overall, there were 4 (12%) clinical leaks and 10 (30%) radiological leaks. In six patients with air leaks demonstrated at operation, two had a radiological leak, one of which presented clinically as well. We believe that in the other four patients a potential leak was probably avoided as a result of intra-operative air testing. This technique is simple, safe and effective and probably helps reduce leakage after colorectal anastomosis.
对33例进行直肠吻合术的患者进行了前瞻性研究，以确定术中空气检测的效用。盆腔用盐水填充，吻合口用空气扩张。发现的任何漏口均进行缝合。术后第8天对所有患者进行泛影葡胺灌肠。总体而言，有4例（12%）临床漏口和10例（30%）放射学漏口。在手术中发现有空气漏口的6例患者中，2例有放射学漏口，其中1例也有临床症状。我们认为，在其他4例患者中，术中空气检测可能避免了潜在的漏口。该技术简单、安全且有效，可能有助于减少结直肠吻合术后的漏口。
