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目的总结直肠癌根治术中骶前静脉丛大出血的原因和处理方法。方法对1980年1月至2008年12月我院直肠癌根治手术中发生的骶前静脉丛大出血5例病例,术中出血量>600ml2例,600～1000ml2例,1500ml1例。全部采用纱布压迫止血法止血。结果止血后未再发生出血,5例患者均痊愈出院。结论肿瘤的浸润及手术操作不当是引起骶前静脉丛大出血的主要原因。直肠癌根治手术中按骶骨解剖层次正确操作是预防术中骶前静脉丛大出血的重要因素,纱布压迫止血是处理骶前静脉丛大出血简便有效的方法。
Objective To summarize the cause and treatment of hemorrhage of presacral venous plexus in radical resection of rectal cancer. Methods From January 1980 to December 2008, 5 cases of presacral venous plexus hemorrhage occurred in the radical operation of rectal cancer in our hospital. There were 2 cases of bleeding in 600ml, 2 cases in 600ml to 1000ml and 1ml in 1500ml. All gauze hemostasis to stop bleeding. No bleeding occurred after hemostasis. All 5 patients were cured. Conclusion The infiltration of the tumor and improper operation are the main causes of hemorrhage in presacral venous plexus. Correct operation of sacral anatomical level in radical operation of rectal cancer is an important factor in preventing massive hemorrhage of presacral venous plexus during operation. Gauze compression hemostasis is a simple and effective method to treat hemorrhage of presacral venous plexus.