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直肠肌鞘内拖出术,手术位置深,操作困难。尤其是在行直肠粘膜剥离即肌管形成过程中,虽在粘膜下注入生理盐水或肾上腺素,但出血仍较多,而且直肠粘膜常易被撕破导致腹腔及肌管内污染。我们对此手术操作进行了改进,治疗了1例结肠息肉病患者,现介绍如下。患者男性,19岁。因反复无痛性便血1 年余入院。家族中无类似疾病史。检查:发育正常,轻度贫血貌,心肺正常,肝脾不大。直肠指诊,距肛缘3～4cm 即可扪及较多的大小不等之息肉。全消化道钡餐、X 线双重气钡造影及乙状结肠镜检查,均显示直肠、
The intramuscular dragging of the rectal muscles is performed at a deep position and is difficult to operate. Especially in the formation of myotubes during rectal mucosal dissection, although saline or epinephrine is injected under the mucosa, bleeding is still frequent, and the rectal mucosa is often easily torn to cause contamination in the abdominal cavity and myotubes. We have improved this surgical procedure and treated one patient with colonic polyposis, as described below. The patient is male, 19 years old. Repeatedly painless blood in the hospital for more than one year. There is no history of similar diseases in the family. Examination: normal development, mild anaemia, normal heart and lung, and small liver and spleen. Rectal examination, from the anal verge of 3 ~ 4cm can be accompanied by more than the size of polyps. Total digestive barium meal, X-ray double-contrast airway angiography, and sigmoidoscopy showed rectal,