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目的 :探讨直肠息肉的治疗方法。方法 :回顾性分析近 5年来诊治的直肠息肉 1 2 7例。结果 :1 2 7例直肠息肉中 ,直肠管状腺瘤 6 9例 ,绒毛状腺瘤 2 8例 ,炎性息肉 2 5例 ,幼年性息肉 5例 ;伴结肠癌 1 0例 ,伴直肠癌 8例 ;经肠镜活检钳钳除4 1例 ,经肠镜电切 4 5例 ,手术切除 33例 ,与伴随直肠癌一并切除 6例 ,未处理 2例。结论 :6 7 72 %的直肠息肉可经肠镜治疗 ,但广基及 2cm以上的腺瘤多数需手术治疗 ,手术根据肿瘤位置可选用经直肠后或括约肌入路、经腹入路或经肛门入路 ,与传统经肛门或剖腹手术相比 ,经直肠后或括约肌入路显露更好 ,且切除更准确、并发症率低和住院时间短 ,是切除直肠腺瘤的安全、彻底的方法
Objective: To explore the treatment of rectal polyps. Methods: Retrospective analysis of 172 cases of rectal polyps diagnosed and treated in the past 5 years. RESULTS: Among 127 cases of rectal polyps, rectal tubular adenomas were found in 69 cases, villous adenomas in 28 cases, inflammatory polyps in 25 cases, juvenile polyps in 5 cases, colon cancer in 10 cases, and rectal cancer in 8 cases. Cases; colonoscopy biopsy forceps forceps in addition to 41 cases, 45 cases of enteroscope electric resection, surgical resection in 33 cases, with resection of rectal cancer in 6 cases, 2 cases were not treated. Conclusion: 67.72% of rectal polyps can be treated with enteroscope. However, most of the adenomas with more than 2cm in width and more need surgical treatment. The operation can choose to use transrectal or sphincter approach, transabdominal approach or transanal. The approach is better than conventional transanal or laparotomy, with better visualization through the retrorectal or sphincter approach, with more accurate resection, lower complication rates, and shorter hospital stays. This is a safe and thorough method of removing rectal adenomas