论文部分内容阅读
我们采用结扎切除加硬化剂注射治疗小儿直肠息肉30例,收到满意的疗效。方法是:在离解+骶麻下,患者取左侧卧位,常规消毒,术者把直肠息肉引出肛门外,在其根部用中弯止血钳夹住,用圆针4号丝线在止血钳下方贯穿呈“8”字结扎,切除止血钳上方2/3息肉,查无活动出血后,在结扎线基底处粘膜下注射2:1消痔灵2~3ml,使粘膜隆起呈白色,术毕用碘伏棉球塞入肛内。结果全部治愈。本方法能使组织血管硬化而避免了结扎线脱落后引起大出血,且能彻底根治病灶、无合并症及后遗症,安全可靠,值得推广。
We use ligation and sclerotherapy plus pediatric rectal polyps in 30 cases, received satisfactory results. The method is: under dissociation + sacral anesthesia, patients take the left lateral position, routine disinfection, the surgeon leads the polyps outside the anus, in the root of the use of curved hemostat clamp, with a round needle on the 4th thread in the hemostat clamp Through the “8” word ligation, resection of hemostatic forceps 2/3 polyps above, check the activity of bleeding, submucosal injection at the base of the ligature 2: 1 Xiaozhiling 2 ~ 3ml, the mucosal uplift was white, surgery completed Toluene tampon inserted into the anus. The results are all cured. The method can make the tissue hardening of the blood vessels and avoid the bleeding after the ligature falls off, and can completely cure the lesions without complications and sequelae, which is safe and reliable and is worth popularizing.