术前内镜在腹腔镜结直肠微小肿瘤定位的临床价值研究  

Analysis of value of preoperative endoscopy in laparoscopic small colorectal tumors

作　　者：郭伟 陈小爽 陈科恒 Guo Wei;Chen Xiaoshuang;Chen Keheng(General Surgery,The First Affiliated Hospital of Henan University,Kaifeng Henan,475001,China)

机构地区：[1]河南大学第一附属医院普通外科,开封475001

出　　处：《河南外科学杂志》2021年第2期11-13,共3页Henan Journal of Surgery

基　　金：河南省医学科技攻关联合共建项目(LHGJ20190512)。

摘　　要：目的探讨术前内镜在腹腔镜结直肠微小肿瘤定位的临床应用价值。方法回顾性分析2018-06—2020-06间河南大学第一附属医院普通外科行手术治疗的63例结直肠微小肿瘤患者的临床资料。依据内镜肿瘤定位时机分为术前内镜组(38例)和术中内镜组(25例)。比较2组患者的基线资料、术中情况,以及术后临床指标。结果2组患者的基线资料差异无统计学意义(P>0.05)。术前内镜组的手术时间、术后通气时间均短于术中内镜组,术后腹胀发生率低于术中内镜组,差异有统计学意义(P<0.05)。2组微小肿瘤定位准确率和术后吻合口漏发生率、住院时间差异无统计学意义(P>0.05)。结论对腹腔镜结直肠微小肿瘤实施手术前2~4 h行内镜定位,有利于缩短手术时间,降低术后腹胀发生率,而且不影响吻合口的愈合,能使患者最大获益。Objective To explore the application value of preoperative endoscopy in laparoscopic small colorectal tumor location.Methods A retrospective analysis of 63 cases in the General Surgery Department of the First Affiliated Hospital of Henan University from June 2018 to June 2020 were eligible for enrollment,including 38 cases in the preoperative endoscopy group and 25 cases in the intraoperative endoscopy group.Use SPSS 22.0 software package analysis,all results were tested with a=0.05(two-sided)test level,P<0.05 was statistically significant.Results Compared with the intraoperative endoscopy group,the preoperative endoscopy group had shorter laparoscopic operation time,ventilation time,and the incidence of abdominal distension.The difference was statistically significant(P<0.05).the preoperative endoscopy group and intraoperative endoscopy group had no significant difference in positioning accuracy,incidence of anastomotic leakage,and hospital stay(P>0.05).Conclusion Endoscopic positioning 2 to 4 hours before laparoscopic colorectal micro-tumor surgery can benefit patients more.It can achieve the intraoperative endoscopic positioning effect,and significantly reduce the operation time and reduce the incidence of postoperative abdominal distension.

关 键 词：术前内镜 术中内镜 腹腔镜 结直肠微小肿瘤 定位 

分 类 号：R656[医药卫生—外科学]