痔上黏膜环形切除钉合术治疗直肠广基息肉的临床探讨  

Clinical Study of Procedure for Prolapse and Hemorrhoids (PPH) for Rectal Sessile Polyp

作　　者：阮国标[1] 粱瑞英 张颖芹[1] 林永洪[1] 

机构地区：[1]广东省江门市新会区中医院肛肠外科,江门529100

出　　处：《结直肠肛门外科》2006年第3期143-145,共3页Journal of Colorectal & Anal Surgery

摘　　要：目的：探讨痔上黏膜环形切除钉合术（PPH）治疗直肠广基息肉的方法、优缺点及安全性。方法：对52例距肛门10cm内，直径〉0．5cm～≤2cm的广基息肉使用PPH术行局部切除，对病灶组织进行连续病理切片检查。结果：手术时间25-43min，术后住院3～7d（平均4d）。术后无吻合口出血、吻合口漏和直肠周围感染；下腹隐痛不适感为30％（16／52）；病理诊断恶性肿瘤占9．6％（5／52），肿瘤切除率100％，吻合口愈合良好。分别随访1～4年，纤维结肠镜检查未见肿瘤复发。结论：PPH切除直肠广基息肉是一种简便、安全、有效和术后并发症少的微创治疗方法。Objective：To explore the efficacy and safety of procedure for prolapse and hemorrhoids（PPH） for rectal sessile polyp. Methods：Rectal sessile polyps, 0.5cm-2.0 cm in diameter and less than 10 cm above anal verge, were locally excised with PPH in 52 patients. Continuous slices were made in specimens for pathological examination. Results：The operative time w.as 25-43 minutes. The hospitalization after operation was 3-7 days （mean 4 days）. No bleeding, anastomotic leakage and perianal infection were found after operation. The abdominal discomfort was found in 16 （30%） of 52 patients. The malignancy was pathologically confirmed in 5（9.6%） of 52 patients. The tumor excision rate wasl00%. The anastomotic stoma healed well. Followed-up for 1 to 4 years, no recurrences were found by colonoscopic examination. Conclusion..PPH is a simple, safe, effective method with minimal invasion and few complications for rectal sessile polyp.

关 键 词：广基息肉 腺瘤 直肠癌 PPH术 

分 类 号：R735.37[医药卫生—肿瘤]