经肛门内镜微创手术治疗早期直肠癌的临床分析  

Clinical analysis of transanal endoscopic microsurgery in the treatment of early rectal cancer

作　　者：孙承宇[1] 

机构地区：[1]沈阳市肛肠医院,110002

出　　处：《中国实用医药》2016年第5期23-24,共2页China Practical Medicine

摘　　要：目的讨论经肛门内镜微创手术治疗早期直肠癌的疗效。方法收集64例经肛门内镜微创手术进行治疗的早期直肠癌患者的临床资料,并进行分析。结果所有患者手术成功。术后出现1例盆腔脓肿,3例肛门出血,暂时性肛门括约肌功能损伤10例。平均随访20个月,3例复发,其中T_1期复发1例,T_2期复发2例,总复发率4.69%。结论经肛门内镜微创手术,时间短,创伤小,可对适宜的早期直肠癌行局部切除术,具有一定的临床价值。Objective To investigate curative effect by transanal endoscopic microsurgery in the treatment of early rectal cancer. Methods Clinical data of 64 patients with early rectal cancer receiving transanal endoscopic microsurgery were collected and analyzed. Results All patients received successful operation. After operation, there were 1 case with pelvic abscess, 3 cases with archorrhagia, and 10 cases with temporary anal sphincter function damage. Average follow-up lasted for 20 months, and it showed 3 recurrent cases, as 1 case in stage T_1 and 2 cases in stage T_2, with the total recurrence rate as 4.69%. Conclusion Transanal endoscopic microsurgery provides short time and small invasion. This method can provide local excision for proper early rectal cancer, and it contains certain clinical value.

关 键 词：直肠癌 肛门内镜微创手术 外科 

分 类 号：R735.37[医药卫生—肿瘤]