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为探讨超声刀经肛门局部切除直肠腺瘤的优缺点及治疗效果。对我院2007年10月至2010年4月超声刀和电刀经肛门局部切除直肠腺瘤60例患者的临床资料进行分组对比分析。结果超声刀经肛门局部切除低位直肠腺瘤具有操作简单,时间短,术中视野清楚,黏膜切除的大小及形状易被操作者所操控,黏膜整块切除率高,病灶清除彻底,易于进行准确的病理学评估,扩大了常规手段治疗的适应证范围;而且具有低并发症、伤口愈合快、疗效高及保持良好术后肛门功能,提高患者生存质量等优点。能应用于直肠腺瘤及经选择的早期癌变的治疗,也能应用于治疗不能耐受大手术的病例。
To investigate the advantages and disadvantages of ultrasonic knife removal of rectal adenoma by anal resection and its therapeutic effect. On October 2007 to April 2010 in our hospital ultrasound scalpel and electric knife through the anus resection of rectal adenoma in 60 patients with clinical data were grouped comparative analysis. Results Ultrasound knife by anal partial resection of low rectal adenoma has simple operation, short time, clear intraoperative vision, the size and shape of mucosal resection easily manipulated by the operator, mucosal resection of the block rate, complete removal of the lesion, easy to accurately Pathological evaluation, expanding the range of indications for conventional treatment; but also has the advantages of low complication, rapid wound healing, high curative effect and good postoperative anal function, and improve the quality of life of patients. Can be applied to the treatment of rectal adenomas and selected early cancers, but also to treat cases that can not tolerate major surgery.