摘要
目的探讨经肛门内镜显微手术(TEM)治疗T1期直肠癌的临床疗效。方法选取2018年6月至2019年6月间陕西省西安医学院第二附属医院收治的90例T1期直肠癌患者,根据治疗方法不同进行分组。其中,采用TEM治疗的45例患者纳入观察组,采用传统手术治疗的45例患者纳入对照组。比较两组患者术中基本情况与并发症发生情况。结果观察组患者手术时间、住院时间、术中出血量和首次肛门排气时间均短于对照组患者,差异均有统计学意义(均P <0.05)。观察组患者并发症总发生率为4.4%,少于对照组患者的22.2%,差异有统计学意义(P <0.05)。结论TEM治疗T1期直肠癌患者具有一定安全性,利于患者恢复,适宜临床推广。
Objective To study the clinical effect of transanal endoscopic microsurgery( TEM) in the treatment of stage T1 rectal cancer. Methods Ninety patients with stage T1 rectal cancer who were admitted to The Second Affiliated Hospital of Xi’an Medical College from June 2018 to June 2019 were enrolled. They were divided into an observation group and a control group based on the treatment they received with 45 patients in each group. The observation group was treated with TEM and the control group was treated with traditional surgery. The basic conditions during the operation and incidence of complications were compared between the two groups. Results The operation time,length of hospital stay,time to anal exhaust and amount of intraoperative blood loss were less in the observation group than in the control group( all P < 0. 05). The overall incidence of complications was 4. 4% in observation group which was significantly lower than 22. 2% of the control group( P < 0. 05). Conclusion TEM is safe in treatment of stage T1 rectal cancer without causing major effects on patients,and is worthy of promotion in the clinical practice.
作者
王林泉
张允东
崔超越
赵旭东
WANG Lin-quan;ZHANG Yun-dong;CUI Chao-yue;ZHAO Xu-dong(Department of Anorectal,The Second Affiliated Hospital of Xi’an Medical College,Xi’an 710038,China)
出处
《中国肿瘤临床与康复》
2020年第8期945-947,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
经肛门内镜显微手术
直肠肿瘤
并发症
Transanal endoscopic microsurgery
Rectal neoplasms
Complications
