摘要
目的:探讨在中低位直肠腺瘤手术治疗中,使用腔镜切割缝合器(Endo-GIA)行经肛门直肠局部切除术和传统经肛门直肠局部切除术(TAE)的效果。方法:收集66例TAE和50例应用Endo-GIA经肛门直肠局部切除术的临床资料,就患者一般资料、手术疗效和病理检查结果进行分析。结果:两组手术患者的性别、年龄、肿瘤大小、术后住院时间和并发症发生率差异无统计学意义(P>0.05)。切除肿瘤距肛缘距离Endo-GIA组[(5.30±1.46)cm]高于TAE组[(3.62±1.31)cm](P<0.01);手术时间Endo-GIA组[(30.10±9.61)min]较TAE组[(47.50±13.05)min]缩短(P<0.01);中位出血量Endo-GIA组5 m L,较TAE组20 m L明显减少(P<0.01)。结论:与传统经肛门局部切除术相比,应用腹腔镜切割缝合器经肛门局部切除中低位直肠腺瘤出血量少,切除范围广,操作省时简便。
Objective： To investigate the effect of trans-anal local excision by using endovascular gastrointestinal anastomosis stapler （Endo-GIA） in surgical treatment of middle/low rectal adenoma compared with conventional trans-anal local excision （TAE）. Methods：The clinical data of 66 cases treated with conventional TAE and 50 cases treated with trans-anal local excision by using Endo-GIA were retrospectively analyzed. Results： No significant difference was found in sex, age, tumor size, post-operation hospital stay and the complication rate between the two groups （P〉0.05）. However, the distance from the anal verge of the Endo-GIA group [（5.30±1.46）cm]was significantly higher than the TAE group [（3.62 ±1.31）cm ] （P〈0.01）. The operation time of Endo-GIA group [（30.10 ±9.61）min] was significantly shorter compared with TAE group [（47.50±13.05）min ]（P〈0.01）. The median amount of bleeding of Endo-GIA group was 5 mL, significantly less than the TAE group, 20 mL （P〈0.01）. Conclusion：Compared with the conventional TAE, the trans-anal excision of middle/low rectal adenoma by using Endo-GIA is a simple and time saving operation with wider excision range and much less bleeding.
出处
《天津医科大学学报》
2015年第4期308-310,共3页
Journal of Tianjin Medical University
