电子结肠镜下直肠下段息肉套扎切除术80例临床分析  

Ligation and Resection Procedure Under Electro-coloscope for Rectal Polyps at Low Segment in 80 Cases

作　　者：许文山[1] 张亮[1] 

机构地区：[1]河西学院附属张掖人民医院肛肠科,甘肃张掖734000

出　　处：《中国肛肠病杂志》2017年第7期43-44,共2页Chinese Journal of Coloproctology

摘　　要：为探讨电子结肠镜下直肠下段息肉套扎切除术的病例选择、治疗方法、术后注意事项及手术优势，对80例直肠下段息肉患者行电子结肠镜下套扎切除术。结果显示，80例共套扎86枚息肉，其中3例多发息肉，均是2枚，所有患者均一次性套扎切除成功。其中腺瘤性息肉46枚，占53．5％；炎性息肉38枚，占44．2％；局灶性癌变2枚，占2．3％。术后直肠穿孔1例，出血1例，经保守治疗均痊愈。结果表明，病例选择适当，充分的术前及肠道准备，术中精细操作，术后严密监测生命体征，保持肛门引流管通畅，术后严格的禁食、禁水是电子结肠镜下息肉套扎切除成功的关键。该手术微创、疗效可靠，是比较安全的一种手术方式。This study was to explore the case selection, treatment method, postoperative notice issues and operative advantages which are related to ligation ＆ resection procedure for rectal lower segment＇s polyps under electro-coloscope; 80 cases of this disease received above procedure. As results,in the 80 cases there was 86 grains of polyps （in them,3 cases being multiple polyps,2 grains, for each case）;all the 80 cases were successfully cured through primary ligation ＆ resection; 46 grain adenomatous polyps （accounted to 53.5%）, 38 of inflammatory polyps （44.2%）, 2 of local-lesion carcinomatous change （2.3%） ; besides, after surgery 1 case suffered from rectal perforation, 1 case had bleeding, both were cured via conservative treatment.Results show that case selection should be proper, preoperative and intestinal preparation be enough, intraoperative manipulation be precise and appropriate; after operation it should strictly monitor vital symptoms and signs, keeping anus drainage tube smoothly; after operation strictly fasting and water is the key to this procedure. In a word, this procedure is a minimally invasive, safer one, with reliable effect. Key Words Rectal poly;Lower segment; Electro-coloscope; Ligation ＆ resection procedure

关 键 词：直肠息肉 下段 电子结肠镜 套扎切除术 

分 类 号：R730.269[医药卫生—肿瘤]