结直肠和肛门异物取出术的应用与方法分析  

Application and Method Analysis of Removal of Foreign Body in Colorectal and Anus

作　　者：杜宁超 刘秀卿[1] 梁靖华 吴健雄 廖木春 邱建夫 宋丽 DU Ning-chao;LIU Xiu-qing;LIANG Jing-hua;WU Jian-xiong;LIAO Mu-chun;QIU Jian-fu;SONG Li(Shenzhen Second People's Hospital,The First Affiliated Hospital of Shenzhen University,Guangdong Shenzhen 518035;Shenzhen Anorectal Hospital of Traditional Chinese Medicine,Guangdong Shenzhen 518032;Shantou University Medicine College,Guangdong Shantou 515041;Shenzhen People's Hospital,The Second Clinical Medical College of Jinan University,Guangdong Shenzhen 518020)

机构地区：[1]深圳市第二人民医院,深圳大学第一附属医院,广东深圳518035 [2]深圳市中医肛肠医院,广东深圳518032 [3]汕头大学医学院,广东汕头515041 [4]深圳市人民医院,暨南大学第二临床医学院,广东深圳518020

出　　处：《深圳中西医结合杂志》2022年第18期10-13,137-138,共6页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：深圳市第二人民医院临床研究课题(20223357014)

摘　　要：目的:分享结直肠肛门异物取出术中的临床应用经验。方法:回顾性分析2020年7月至2022年3月深圳市第二人民医院肛肠外科收治的6例因自身原因或误吞不能消化的异物需要经腹手术或经肛门取出的患者的临床资料,总结结直肠肛门异物取出的临床应用经验。结果:6例患者中,1例在腰麻下经肛门取出异物,1例在无麻醉下通便灌肠经肛门排出异物,1例在局部麻醉下经肛门取出异物,3例在无麻醉下经肛门取出异物,所有手术均顺利完成,手术时间10~60 min,均未发生肛门括约肌损伤、直肠肛管黏膜皮肤损伤、腹盆腔感染等并发症。术后随访1月未见便血及肛周感染等,恢复良好。结论:对于结直肠肛门异物取出技术成熟的手术团队,在严格把握手术指征、选择合适方法的前提下,将不同方法应用于异物取出术中,可取得较为理想的临床效果。Objective To share the clinical experience in the removal of colorectal and anal foreign bodies.Methods The clinical data of 6 patients who needed transabdominal surgery or transanal removal for indigestion or indigestion of foreign bodies for their own reasons or ingestion admitted to the anorectal surgery department of Shenzhen Second People’s Hospital from July 2020 to March 2022 were retrospectively analyzed,and the clinical application experience of colorectal and anal foreign bodies removal was summarized.Results Among the 6 patients,1 case was removed via anus under lumbar anesthesia,1 case was removed via anus by defecation enema without anesthesia,1 case was removed via anus under local anesthesia,and 3 cases were removed via anus without anesthesia.All operations were successfully completed,and the operation time was 10-60 min,there were no anal sphincter injury,anorectal mucosa and skin injury,abdominal and pelvic infection and other complications.There was no hematochezia and perianal infection during 1 month follow-up,and the patients recovered well.Conclusion For the surgical team with mature technology of removing colorectal and anal foreign bodies,under the premise of strictly grasping the surgical indications and selecting the appropriate methods,different methods can be applied in the removal of foreign bodies,which can achieve more ideal clinical results.

关 键 词：结肠异物 直肠异物 肛门异物 取出术 

分 类 号：R657.1[医药卫生—外科学]