CAJ | 학술논문

目的探讨小切口开腹术配合内镜治疗黑斑息肉综合征(PJS)小肠多发息肉的疗效.方法对临床诊断为PJS的患者进行小肠多发息肉的术中内镜治疗,主要观察指标包括内镜下息肉治疗的完成情况、小肠息肉切除的数量、大小以及与内镜下治疗相关的并发症等.结果 8例患者共在术中切除812枚息肉,直径<10 mm 384枚;10～30 mm 356枚;>30 mm 72枚,其中最大者45 mm×38 mm.术后出现肠功能障碍1例,腹部隐痛不适1例,未引起血色素下降的出血及其他严重并发症发生.结论术中内镜治疗能安全可靠地切除PJS患者深部小肠息肉,对小肠息肉的治疗损伤小、恢复快,具有重要的临床应用价值.
목적 탐토소절구개복술배합내경치료흑반식육종합정(PJS)소장다발식육적료효.방법 대림상진단위PJS적환자진행소장다발식육적술중내경치료,주요관찰지표포괄내경하식육치료적완성정황、소장식육절제적수량、대소이급여내경하치료상관적병발증등.결과 8례환자공재술중절제812매식육,직경<10 mm 384매;10～30 mm 356매;>30 mm 72매,기중최대자45 mm×38 mm.술후출현장공능장애1례,복부은통불괄1례,미인기혈색소하강적출혈급기타엄중병발증발생.결론 술중내경치료능안전가고지절제PJS환자심부소장식육,대소장식육적치료손상소、회복쾌,구유중요적림상응용개치.
Objective To evaluate the effectiveness and safety of minimal incision laparotomy assisted endoscopic resection for polyps in small intestine in patients with Peutz-Jeghers syndrome. Methods The clinical data of patients with Peutz-Jeghers syndrome, who underwent minimal incision laparotomy assisted endoscopic resection for polyps in small intestine, were retrospectively studied. The size and number of the endoscopically rosected polyps, and the procedure related complications were documented. Results A total of 812 polyps in small-bowel were resected in 8 patients, in which 384 were smaller than 10mm, 356 with diameter ranging from 11 mm to 30mm, and 72 were larger than 30mm in diameter. Procedure related complications included intestinal dysfunction in 1 patient and abdominal pain in another. No bleeding with a fall in Hb or other severe complications were observed. Conclusion Minimal incision laparotomy assisted endoscopic resectio is a safe and reliable procedure for the treatment of mid-small bowel polyps in patients with Peutz-Jeghers syndrome. It revolutionizes the therapeutic options for polyps in the region of the mid-small bowel and limits the indications for primary surgical management.