摘要
目的探讨吻合器痔上黏膜环切术(PPH)在低位直肠良性肿瘤治疗中的临床应用价值。方法将2010年2月至2012年4月的46例肿瘤距肛缘7.0 cm内、直径<2.5 cm、活动度好、活检结果为良性的直肠肿瘤患者,采用信封抽签法随机分为两组,PPH组22例、对照组24例;分别采用PPH治疗和传统的经肛门局部切除术治疗;比较两组手术时间、术中出血量、住院时间、术后并发症。结果两组患者在手术时间、术中出血量、住院时间(P值分别为0.001、0.001、0.001,均<0.005)方面的差异均具有统计学显著意义,且PPH组术后并发症发生率(13.64%)明显低于对照组(54.17%)。结论与传统经肛门局部切除术相比,PPH作为治疗低位直肠良性肿瘤的手术方式有着明显优越性,但应严格掌握手术指征及手术技巧。
Objective To explore the clinic application value of procedure for prolapse and hemorrhoids （PPH） in low rectal benign tumor therapy. Method 46 cases of patients were enrolled, whose rectal tumors were within 7. 0 cm form anus margin, and were of diameter less than 2. 5 cm, as with good mobility and the biopsy results were rectal benign tumor. Then all of the 46 patients were randomized into two groups by envelope method. There were 22 cases in PPH group and 24 cases in control group which were treated with PPH and traditional anal local resection respectively, and the operation time, intraoperative bleeding, postoperative complications and the hospitalization time, were compared. Result The operation time, intraoperative bleeding and hospitalization time were statistically different between the two groups （P values were 0. 001, 0. 001 and 0. 001, respectively ）. In addition, the incidence of postoperative complications （ 13.64% ） was significantly lower in PPH group than the control group （54. 17% ）. Conclusion As a procedure for low rectal benign tumor, PPH surgery is feasible and better than traditional anal local resection, while the indications and skills for operation should be identified and mastered
出处
《癌症进展》
2013年第1期71-74,共4页
Oncology Progress
