内镜下高频电切术治疗结直肠囊肿的疗效评价
Therapeutic efficacy of endoscopic high-frequency electric dissection for colorectal cysts
熊锋 1韩泽龙 1马宗辉 1刘思德1
作者信息
- 1. 510515广州,南方医科大学南方医院消化内科
- 折叠
摘要
目的 探讨内镜下高频电切术治疗结直肠囊肿的疗效及安全性.方法 回顾性分析2005年1月1日年至2015年7月1日南方医科大学附属南方医院及珠江医院确诊为结直肠囊肿并行高频电切术患者的基本信息、临床资料、内镜手术方式、术后并发症等,并对所有纳入研究的患者进行随访,获取患者术后复查肠镜的具体结果.结果 最终共63例患者纳入本研究,其中囊肿位于回盲部9例,升结肠17例,横结肠19例,降结肠10例,乙状结肠7例及直肠1例.囊肿最大直径为5～40 mm,平均(20.2+7.5)mm.所有患者行高频电切术完整切除囊肿或切除部分囊壁开窗引流,其中1例出现术后出血,经肠镜下钛夹缝合等处理后均未再出血.共45例患者获得6～87个月[平均(24.1+14.3)个月]的术后随访,所有患者随访期间未见迟发并发症,且复查肠镜均未见囊肿复发.结论 内镜下高频电切术是一种治疗结直肠囊肿安全、有效的方法.
Abstract
Objective To evaluate the efficacy and safety of high-frequency electric dissection for colorectal cysts.Methods The personal information,clinical data,operation methods and postoperative complications of patients who were diagnosed as having colorectal cysts and underwent high-frequency electric dissection in Nanfang hospital and Zhujiang Hospital of Southern Medical University between January 1st,2005 and July 1st,2015 were analysed.All patients enrolled in the study were followed up to obtain their resuits of colonoscopy.Results A total of 63 patients were enrolled into our study,9 lesions located in the ileocecus,17 in the ascending colon,19 in the transverse colon,10 in the descending colon,7 in the sigmoid colon and 1 in the rectum.The maximum diameter of the cysts was 20.2+7.5 mm (5-40 mm).All patients underwent high-frequency electric dissection to remove the cysts completely or part of the cyst wall for drainage.Hemorrhage occurred in only one patient and bleeding stopped after being clipped by Titanium clip.Forty-five patients were followed up and there were no delayed complications or recurrence during a postoperative follow-up of 24.1 + 14.3 months (6-87 months).Conclusion High-frequency electric dissection is a safe and effective procedure for the treatment of colorectal cysts.
关键词
囊肿/高频电切术Key words
Cysts/High-frequency electric dissection引用本文复制引用
出版年
2016
NETL
NSTL
维普
万方数据