结肠镜、腹腔镜双镜联合治疗结直肠困难息肉的临床研究  

Clinical study on combination of colonoscopy and laparoscopy dual-mirror in treatingdifficult colorectal polyps

作　　者：雷晓东[1] 利民[1] 邱培才[1] 李苏明[1] 邓伟均[1] 

机构地区：[1]南方医科大学附属东莞石龙人民医院,广东523320

出　　处：《齐齐哈尔医学院学报》2013年第7期980-981,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨结肠镜、腹腔镜双镜联合治疗结直肠困难息肉的临床效果。方法结直肠巨大息肉患者31例根据治疗方法的不同分为内镜组21例与双镜联合组10例,内镜组只采用传统的结肠镜下手术治疗,双镜联合组采用结肠镜、腹腔镜双镜联合治疗。结果两组都手术顺利完成,无中转开腹,无术后穿孔、吻合口瘘、穿孔等严重并发症。不过双镜联合组的手术时间与住院时间明显少于内镜组(P<0.05),两组住院费用相当(P>0.05)。结论应用双镜联合治疗结肠镜下切除困难的结直肠息肉能达到两者优势互补,减少手术时间与住院时间,加快患者的恢复,值得临床推广应用。Objective To investigate the colonoscopy, laparoscopic double mirror the clinical effect of combination therapy in treating difficulties in colorectal polyps. Methods Colorectal huge polyp patients 31 cases the endoscopy group of 21 patients were divided into treatment with double mirror combined group of 10 patients, endoscopic group only a traditional colonoscopy surgical treatment of double - mirror combination group colonoscopy laparoscopic dual - mirror combination therapy. Results The two groups had surgery successfully completed without laparotomy, postoperative bleeding, perforation, anastomotic leak, stenosis and other complications. Joint group of the over two - mirror operation time and hospital stay was significantly less than the endoscopic group （ P 〈 0. 05 ）, the average hospital stay costs were considerable. Conclusions Double mirror combination therapy in treating colorectal polyps colon endoscopic resection difficuhycan complement each other, reduce the period of operation and staying in hospital, and worthy of clinical application.

关 键 词：结肠镜 腹腔镜 结直肠困难息肉 

分 类 号：R735.3[医药卫生—肿瘤]