医学新知杂志2016，Vol.26Issue(4)：265-266,2.
经肛门手术治疗直肠绒毛状腺瘤
Transanal Procedure for Rectal Villous Adenoma
孙宏斌 1曹永磊 1解萧宇 1周燕 1江从庆1
作者信息
- 1. 430071 湖北武汉，武汉大学中南医院结直肠肛门外科
- 折叠
摘要
Abstract
Objective To investigate the efficacy of transanal procedure for rectal villous adenoma. Methods The clinical data of 18 patients with rectal villous adenoma who underwent transanal procedure were analyzed. Results 18 patients were confirmed rectal villous adenoma through preoperative biopsy,including 6 patients with local high grade intraepithelial neoplasia,for which adenoma did not violate submucosa through transrectal ultrasonography and perirectal enlarged lymph nodes were not found by pelvic MRI. All the 18 patients underwent transanal procedure suc-cessfully without severe complications. Postoperative pathology indicated that adenoma in 17 patients was resected completely,small adenoma residual was found in 1 patient,5 cases with local high grade intraepithelial neoplasia and 1 case showed superficial muscular infiltration(additional laparoscopic intersphincteric resection). 4 cases relapsed with local recurrence from 6 to 21 months after operation during 1 to 54 months follow - up,all of which underwent lo-cal resection. Conclusion Transanal procedure is simple with less complications and low recurrence rate for rectal villous adenoma.关键词
直肠绒毛状腺瘤/经肛门手术Key words
Rectal villous adenoma/Transanal procedure分类
医药卫生引用本文复制引用
孙宏斌,曹永磊,解萧宇,周燕,江从庆..经肛门手术治疗直肠绒毛状腺瘤[J].医学新知杂志,2016,26(4):265-266,2.
