一次性使用弧型切割吻合器治疗直肠息肉的临床观察  

Clinical observation of disposable curved cutter stapler in treatment of rectal polyps

作　　者：林梅[1] 韩旭[1] 

机构地区：[1]北京市二龙路医院,北京100120

出　　处：《中国现代医学杂志》2017年第1期111-114,共4页China Journal of Modern Medicine

摘　　要：目的探讨一次性使用弧型切割吻合器在直肠息肉治疗中的应用价值。方法将66例患有直肠息肉的患者随机分为观察组(34例)与对照组(32例),观察组采用一次性使用弧型切割吻合器治疗,对照组采用局部切除术治疗,比较两组疗效、术后疼痛评分、手术时间、术中出血量、术后并发症、住院时间及术后6个月复发情况。结果观察组和对照组的有效率均为100%。与对照组比较,观察组术中出血量较少,术后疼痛轻,手术时间及住院时间较短(P<0.05)。观察组术后便血、便秘、肛缘水肿、尿潴留、肛门狭窄等并发症发生率较低(11.8%),与对照组比较(34.4%),差异有统计学意义(P<0.05)。两组患者术后随访6个月,均未发现复发、转移。结论一次性使用弧型切割吻合器治疗直肠息肉疗效满意,具有创伤小、恢复快、并发症发生率低等优点。Objective To investigate the application value of disposable curved cutter stapler in the treatment of rectal polyps. Methods Sixty-six patients with rectal polyps were randomly divided into experimental group and control group. The 32 cases in the experimental group were treated with disposable curved cutter stapler, while the 34 cases in the control group were treated with local excision. The two groups were compared in efficacy, postoperative pain score, operative time, intraoperative blood loss, postoperative complications, hospitalization time and recurrence 6 months after surgery. Results The effective rate of the observation group and the control group was 100%. Compared with the control group, the observation group had less bleeding, milder postoperative pain, shorter operative time and hospital stay （P〈 0.01）. The incidences of postoperative hematochezia, constipation, anal edema, urinary retention, anal stenosis and other complications in the observation group were lower than those in the control group （11.8% vs 34.4%, P〈 0.05）. After 6-month follow-up, there was no recurrence or metastasis in either group. Conclusions Disposable arc cutting stapler has satisfactory curative effect in the treatment of rectal polyps with little trauma, quick recovery, low complication rate.

关 键 词：直肠息肉 弧形切割吻合器 临床观察 

分 类 号：R657.1[医药卫生—外科学]