摘要
目的 分析直肠少见占位性病变的临床资料,探讨诊治经验.方法 回顾性分析2014年1月至2016年6月期间收治的14例直肠少见占位性疾病患者的临床资料,分析临床诊治过程.结果 14例患者中直肠胃肠间质瘤4例、直肠神经内分泌肿瘤3例、直肠子宫内膜异位症2例、直肠髓外浆细胞瘤、直肠深在性囊性结肠炎、直肠血管瘤、直肠尖锐湿疣及梅毒各1例.所有患者均行结肠镜检查,其中3例行超声内镜,9例患者行盆腔CT检查,4例患者行盆腔或直肠MRI检查.2例行根治术,3例行肠部分切除术,6例行经肛门局部切除术,3例行活检术.结论 一些直肠占位性病变临床少见,误诊率高,提高对此类疾病诊治水平十分必要.
Objective To analyze medical records of patients with rare rectal space -occupying diseases in or- der to explore diagnosis and treatment experience. Methods The clinical data of 14 cases with uncommon rectal space -occupying diseases were collected from Jan. 2014 to Jun. 2016 ,the diagnosis and treatment of which were ret- rospectively analyzed. Results In all patients, there were 4 cases with rectal gastrointestinal stromal tumor, 3 cases with rectal neuroendocrine neoplasm,2 cases with rectal endometriosis, 1 case with rectal solitary extramedullary plas- macytoma, 1 case with rectal colitis cystica profunda, 1 case with rectal hemangioma, 1 case with rectal verruca acumi- nate and 1 case with rectal syphilis. All patients underwent colonoscopy, 13 of whom underwent CT or MRI scanning. Two patients underwent radical operation, 3 patients underwent partial excision of the bowel, 6 patients underwent transanal local excision and 3 patients underwent biopsy. Conclusion Some rectum space - occupying lesions are un- common and the misdiagnosis rate of them is high. It is necessary to raise the level of diagnosis and treatment of these diseases.
出处
《医学新知》
CAS
2017年第1期32-35,F0003,共5页
New Medicine
基金
基金项目：国家自然科学基金面上项目（81570492）
湖北省卫生厅科研一般项目（JX6819）
关键词
少见直肠占位
诊断
治疗
Rare rectal space - occupying diseases
Diagnosis
Treatment
