摘要
目的 :探讨直肠息肉的治疗方法。方法 :回顾性分析近 5年来诊治的直肠息肉 1 2 7例。结果 :1 2 7例直肠息肉中 ,直肠管状腺瘤 6 9例 ,绒毛状腺瘤 2 8例 ,炎性息肉 2 5例 ,幼年性息肉 5例 ;伴结肠癌 1 0例 ,伴直肠癌 8例 ;经肠镜活检钳钳除4 1例 ,经肠镜电切 4 5例 ,手术切除 33例 ,与伴随直肠癌一并切除 6例 ,未处理 2例。结论 :6 7 72 %的直肠息肉可经肠镜治疗 ,但广基及 2cm以上的腺瘤多数需手术治疗 ,手术根据肿瘤位置可选用经直肠后或括约肌入路、经腹入路或经肛门入路 ,与传统经肛门或剖腹手术相比 ,经直肠后或括约肌入路显露更好 ,且切除更准确、并发症率低和住院时间短 ,是切除直肠腺瘤的安全。
Objective:To explore the treating methods of benign rectal polyps.Methods:We analyze retrospectively 127 patients with rectal polyps in our hospital over a 5 year period.Results:Among 127 patients,69 cases suffered from rectal tubular adenoma,28 cases villus adenoma,25 cases inflammatory polyps,54 cases childhood polyps.10 patients suffered from colonic carcer and 8 patients rectal cancer simultaneously.The polypse of 41 patients were removed by endoscopic forceps,and the polypse of other 45 patients were getten rid of by endoscopic electro cutting.33 patients undertook operation.Conclusion:Endoscopic treatment is suitable for 67.72% patients with rectal polypse.But these polypse with expand base,or >2 cm,often required operation.According to the location of the tumour,the operation may use per post rectum,ante trans sphincter,retro trans sphincter approach,or laparotomy.Compard with conventional transanal resection or laparotomy,resection per post rectum or trans sphincter provides superior exposure of rectal tumors.The greater precision of resection combined with low morbidity nd short duration of hospitalization make this technique a reliable and in some cases more effective surgical approach than laparotomy and transanal resection.
出处
《大肠肛门病外科杂志》
2003年第4期232-234,共3页
Journal of Coloproctological Surgery
