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目的就直肠类癌68例临床病理分析及手术方式进行探讨。方法选取我院2011年5月~2012年5月间收治的68例直肠类癌患者。根据患者的病理结果、浸润深度、肿瘤大小、肿瘤部位来进行个体化治疗。结果全组无手术死亡率、大出血、吻合口瘘等。术后粘连性肠梗阻1例,经保守治疗后好转。EMR和TEM术后无并发出血、穿孔、盆腔感染和肛门失禁。结论 TEM手术方法集显微手术、腹腔镜手术、内镜手术三种为一体,具有可获得高质量的肿瘤标本、切除较高部位的直肠病变、切除精确、微创、显露良好等优点,为适合局部切除的直肠类癌患者提供了理想的术式选择,无不良反应和并发症,值得在临床上大量应用。
Objective To investigate the clinical and pathological analysis of 68 cases of rectal carcinoid tumors and surgical methods. Methods A total of 68 patients with rectal carcinoid tumors admitted to our hospital from May 2011 to May 2012 were selected. According to the patient’s pathological findings, depth of invasion, tumor size, tumor site to individualized treatment. Results The whole group no operative mortality, bleeding, anastomotic leakage and so on. Postoperative adhesive intestinal obstruction in 1 case, after conservative treatment improved. EMR and TEM without complications of bleeding, perforation, pelvic infection and anal incontinence. Conclusion The method of microsurgery, laparoscopic surgery and endoscopic surgery is one of the methods of TEM surgery. It has the advantages of obtaining high-quality tumor specimens, resecting the rectal lesions of the higher part, accurate and minimally invasive resection, For locally resected rectal carcinoid patients provides the ideal surgical options, no adverse reactions and complications, it is worth the large number of clinical applications.