摘要
目的探讨经肛门内镜下手术(TEM)治疗直肠良、恶性肿瘤的应用效果。方法分析2008年9月-2010年4月15例TEM患者的临床资料,患者年龄(56±19)岁,肿瘤直径中位值1.9cm,肿瘤下缘距肛缘距离(9.7±4.5)cm,术中出血量(15±5)ml,平均手术时间(65±32)min。结果平均住院日3.6d,无围手术期死亡及并发症。病理示腺癌(T1期)2例、类癌2例、中-重度不典型增生1例,绒毛状管状腺瘤6例,炎症3例,息肉1例。平均随访12个月,无复发。结论TEM是一种集内镜、腹腔镜、微创手术于一身的新术式,创伤小、出血少、住院时间短,可作为直肠良性及早期恶性肿瘤的治疗手段。
Objective To study the curative effect of transanal endoscopic microsurgery（TEM） on benign and malignant rectal tumors.Methods Clinical data about 15 patients undergoing TEM from September 2008 to April 2010 in our hospital were analyzed.The median age of the patients was（56±19）years.The tumor diameter was 1.9cm and the distance between tumor lower edge and anal margin was（9.7±4.5）cm.The average blood loss during operation was（15±5）ml.The operation time was（65±32）min.Results TEM was successfully performed in all the patients with no patient transferred to laparotomy.The average hospital stay time was 3.6d with no death,recurrence and complication occurred.The average follow-up time was 12 months.Conclusion TEM is a new endoscopic,laparoscopic and minimally invasive procedure for benign and malignant rectal tumors with the advantages of small wound,less bleeding and short hospital stay time.
出处
《军医进修学院学报》
CAS
2011年第2期109-110,共2页
Academic Journal of Pla Postgraduate Medical School
关键词
直肠肿瘤
内窥镜检查
胃肠道
外科手术
微创性
Rectal Neoplasms
Endoscopy
Gastrointestinal
Surgical Procedures
Minimally Invasive
