经肛门内镜微创术对低位直肠间质瘤患者术后恢复及复发情况的影响  

Effect of Transanal Endoscopic Minimally Invasive Surgery on Postoperative Recovery and Recurrence of Patients with Low Rectal Stromal Tumors

作　　者：李阳子 LI Yang-zi(First Affiliated Hospital of Nanyang Medical College,Nanyang,Henan 473000)

机构地区：[1]南阳医学高等专科学校第一附属医院,河南南阳473000

出　　处：《中国肛肠病杂志》2025年第1期19-22,共4页Chinese Journal of Coloproctology

摘　　要：目的:探究经肛门内镜微创术(TEM)对低位直肠间质瘤患者术后恢复及复发情况的影响。方法:将2019年2月至2023年3月我院收治的80例低位直肠间质瘤患者随机分为A组和B组,每组40例。A组患者行TEM治疗,B组患者行腹腔镜直肠系膜切除术治疗,比较2组患者术后恢复时间、手术前后肛肠测压以及术后并发症和复发情况。结果:A组患者术后住院时间、首次进食时间以及首次排气时间均短于B组(P<0.05);术前1周2组患者直肠最大耐受量(MTV)、肛管最大收缩压(MSP)、肛管直肠静息压(ARP)以及直肠容量感觉阈值(RVST)比较差异无统计学意义(P>0.05),术后1个月A组患者MTV、MSP、ARP以及RVST均高于B组(P<0.05);A组患者并发症发生率和复发率均低于B组(P<0.05)。结论:TEM治疗低位直肠间质瘤患者可促进患者术后恢复,安全性高,且复发率低。Objective To investigate the effect of transanal endoscopic minimally invasive surgery on the postoperative recovery and recurrence of patients with low rectal stromal tumors.Methods A total of 80 patients with low rectal stromal tumors admitted to our hospital from February 2019 to March 2023 were randomly divided into group A and group B,with 40 cases in each group.Patients in group A were treated with TEM,and patients in group B were given laparoscopic mesorectal resection.The postoperative recovery time,anorectal pressure before and after operation,postoperative complications and recurrence were compared between the two groups.Results The postoperative hospital stay,first feeding time,and first exhaust time in group A were shorter than those in group B(P<0.05).There was no significant difference in rectal maximal tolerable volume(MTV),anal maximal systolic pressure(MSP),anorectal resting pressure(ARP)and rectal volume sensory threshold(RVST)between the two groups one week before operation(P>0.05).One month after operation,MTV,MSP,ARP and RVST in group A were higher than those in group B(P<0.05).The incidence of complications and recurrence rate in group A were lower than those in group B(P<0.05).Conclusion TEM in the treatment of patients with low rectal stromal tumors can promote postoperative recovery,with high safety and low recurrence rate.

关 键 词：低位直肠间质瘤 肛门内镜微创术 临床效果 复发 

分 类 号：R735.37[医药卫生—肿瘤]