【摘 要】
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目的:评估经肛门内镜显微手术(TEM)治疗直肠良、恶性肿瘤的近期疗效,并对肿瘤的切除方法及创面缝合方法进行探讨.方法:回顾性分析我院近5年来采用经肛门内镜显微手术治疗71例直肠良、恶肿瘤的结果,从手术时间、术中出血、术后疼痛、伤口感染以及住院时间等评价其近期疗效,并通过随访观察评估其远期疗效.同时从肿瘤的切除方法及手术缝合方法上做了新的探讨.结果:手术时间为40-100分钟,全部病人术中出血均少于
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目的:评估经肛门内镜显微手术(TEM)治疗直肠良、恶性肿瘤的近期疗效,并对肿瘤的切除方法及创面缝合方法进行探讨.方法:回顾性分析我院近5年来采用经肛门内镜显微手术治疗71例直肠良、恶肿瘤的结果,从手术时间、术中出血、术后疼痛、伤口感染以及住院时间等评价其近期疗效,并通过随访观察评估其远期疗效.同时从肿瘤的切除方法及手术缝合方法上做了新的探讨.结果:手术时间为40-100分钟,全部病人术中出血均少于10ml,术中无穿孔,术后病理诊断:直肠良性肿瘤50例,直肠类癌4例,早期侵袭性直肠癌(T1期)11例,T2期直肠癌6例.所有肿瘤均获完整切除,切缘术后病理均显示为阴性.术后并发症:除1例直肠中分化腺癌术后第一天有少量出血外,其余均未见术后便血.6例患者在术后第2和第3天出现低热,全部病人无术后疼痛、大小便失禁、伤口感染等并发症.全组病人随访1~58个月,4例患者出现局部复发,余67例患者均未见复发或其它异常.结论:经肛门内镜显微手术是治疗直肠良、恶性肿瘤的安全术式.Ligasure可以应用于肛门内镜手术,强生自动打结线盒缝合是有效的TEM手术技术。
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