中国实用外科杂志2017，Vol.37Issue(7)：802-805,4.DOI:10.19538/j.cjps.issn1005-2208.2017.07.26
内镜黏膜下剥离治疗结直肠黏膜病变术后肛管引流减压疗效分析
Research on application of transanal tube drainage for prevention of complication in colorectal mucosal lesions after ESD
摘要
Abstract
Objective To evaluate transanal tube for prevention of complications in colorectal mucosal lesions after endoscopic submucosal dissection (ESD). Methods The clinical data of 61 patients with colorectal mucosal lesions undergoing ESD from January to December 2016 in Endoscopy Center,Zhongshan Hospital,Fudan University were reviewed retrospectively. The incidence rate of complications after ESD within one month was analyzed. Results A total of 21 of all lesions were located at right-half colon, 9 at left-half colon and 31 at rectum. The mean diameter of the lesions was 3.32.3 (0.8-12.0) cm. There were not intraoperative complications including serious bleeding and perforation. Delayed bleeding on the eighth post-ESD day was detected in 1 (1.6%) patient who was cured by transfusion. Three (4.9%) patients suffered post-ESD electrocoagulation syndrome and perforation did not present in all patients. Conclusion The application of transanal tube drainage in colorectal mucosal lesions after ESD is a kind of convenient and safe preventive measure with lower incidences of complications. However, surgeons should do more research to know whether transanal tube need to be placed routinely after ESD or not.关键词
内镜黏膜下剥离术/肛管引流/结直肠/黏膜病变Key words
endoscopic submucosal dissection/transanal tube drainage/colorectal/mucosal lesion分类
医药卫生引用本文复制引用
李冰,钟芸诗,周平红,姚礼庆,徐美东,任重,时强,陈涛,蔡世伦,齐志鹏..内镜黏膜下剥离治疗结直肠黏膜病变术后肛管引流减压疗效分析[J].中国实用外科杂志,2017,37(7):802-805,4.基金项目
上海市科委医学重大项目子课题(No.16411950406,No.16411950409) （No.16411950406,No.16411950409）
国家自然科学基金(No.81672329) （No.81672329）
上海市青年科技英才扬帆计划资助(No.17YF1402000) （No.17YF1402000）
上海市消化内镜诊疗工程技术研究中心支持项目(No.16DZ2280900) （No.16DZ2280900）
