| 刘国兴,汪大伟,梁德森,等.肛门直肠镜治疗直肠神经内分泌肿瘤 16例疗效分析[J].安徽医药,2022,26(2):290-293. |
| 肛门直肠镜治疗直肠神经内分泌肿瘤 16例疗效分析 |
| Analysis of clinical efficacy of anorectal endoscopy in the treatment of rectal neuroendocrine tumors |
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| DOI：10.3969/j.issn.1009-6469.2022.02.020 |
| 中文关键词: 直肠肿瘤 神经内分泌瘤 肛门直肠镜 最小侵入性外科手术 临床疗效 |
| 英文关键词: Rectal neoplasms Neuroendocrine tumors Anorectal endoscopy Minimally invasive surgical procedures Clini. cal efficacy |
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| 中文摘要: |
| 目的研究经肛门直肠镜微创手术( TEM)治疗直肠神经内分泌肿瘤的临床疗效。方法回顾性分析 2014年 7至 2019年 7月在哈尔滨医科大学附属第一医院施行手术的 32例直肠神经内分泌肿瘤病人的临床资料。根据手术方式的不同分为治疗组和对照组，每组 16例。治疗组采用 TEM术，对照组采用经肛门直肠神经内分泌肿瘤切除术，比较两组病人手术相关指标(手术时间、术中出血量、住院时间)以及术后并发症(术后腹痛和肛门下坠感、术后便血、尿潴留)。结果随访 3～12个月，治疗组与对照组手术时间差异无统计学意义［(32.81±5.62)min比( 35.50±4.31)min，P>0.05］但治疗组术中出血量［(3.71± |
| 英文摘要: |
| Objective To study the clinical efficacy of Transanal Endoscopic Microsurgery (TEM) in the treatment of rectal neuroen. docrine tumors.Methods The clinical data of 32 patients with rectal neuroendocrine tumors performed in the First Affiliated Hospitalof Harbin Medical University from July 2014 to July 2019 were retrospectively analyzed. According to the different surgical methods,they were assigned into treatment group and control group, with 16 cases in each group. The treatment group was treated with TEM, andthe control group was treated with transanorectal neuroendocrine tumor resection. The surgical-related indicators (operation time, intra.operative blood loss, length of hospital stay) and postoperative complications (abdominal pain and anal drooping feeling, postoperativeblood in the stool, retention of urine) between the two groups were compared.Results During the follow-up period of 3 to 12 months, there was no significant difference in the operation time between the two groups [(32.81±5.62) min vs. (35.50±4.31) min, P>0.05], but the intraoperative blood loss [(3.71±1.40) mL vs. (6.63±1.83) mL], hospital stay [(5.00±1.15) d vs. (7.38±1.20) d] and postoperative com. plications in the treatment group were significantly lower than those in the control group (P<0.05). The tumor resection margin and bas.al tumor in the treatment group were reported as negative, and no recurrence was observed during follow-up. The control group patholog.ically reported that one tumor resection margin was positive, and two cases had recurrence during follow-up.Conclusion TEM has good short-term efficacy in the treatment of rectal neuroendocrine tumors, less postoperative complications, and high patient satisfac.tion, which is worth promoting . |
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