医学美学美容（中旬刊）
醫學美學美容（中旬刊）
의학미학미용（중순간）
MEDICAL AESTHETICS AND COSMETOLOGY
2015年
5期
101-102
,共2页
经肛门内镜显微手术(TEM)%直肠肿瘤%临床疗效
經肛門內鏡顯微手術(TEM)%直腸腫瘤%臨床療效
경항문내경현미수술(TEM)%직장종류%림상료효
transanal endoscopic microsurgery(TEM)%rectal tumor%clinical ef icacy
目的：探讨经肛门内镜显微手术（transanal endoscopic microsurgery，TEM）治疗直肠肿瘤的临床疗效。方法：分析总结唐山市人民医院于2014年2月至2014年8月诊治20例 TEM患者，对其术中出血、术后出血、术后感染、术后大便失禁等并发症及平均住院时间等来评价其临床疗效。结果：20例 TEM患者均获得肿瘤的完整切除，其中14例为绒毛管状腺瘤，合并3例为伴高级别上皮内瘤变，4例为高分化腺癌，2例为直肠类癌。术后标本切缘病理均为阴性，术中出血均＜10ml，术后未出现出血、大便失禁、感染等并发症，5例患者术后第1天出现轻微肛门疼痛不适，给予对症处理后，术后第二天缓解。平均住院时间为4．5天。结论：经肛门内镜显微手术（TEM）对于治疗直肠肿瘤是一种安全可行、有效的术式，具有较好的临床疗效。
目的：探討經肛門內鏡顯微手術（transanal endoscopic microsurgery，TEM）治療直腸腫瘤的臨床療效。方法：分析總結唐山市人民醫院于2014年2月至2014年8月診治20例 TEM患者，對其術中齣血、術後齣血、術後感染、術後大便失禁等併髮癥及平均住院時間等來評價其臨床療效。結果：20例 TEM患者均穫得腫瘤的完整切除，其中14例為絨毛管狀腺瘤，閤併3例為伴高級彆上皮內瘤變，4例為高分化腺癌，2例為直腸類癌。術後標本切緣病理均為陰性，術中齣血均＜10ml，術後未齣現齣血、大便失禁、感染等併髮癥，5例患者術後第1天齣現輕微肛門疼痛不適，給予對癥處理後，術後第二天緩解。平均住院時間為4．5天。結論：經肛門內鏡顯微手術（TEM）對于治療直腸腫瘤是一種安全可行、有效的術式，具有較好的臨床療效。
목적：탐토경항문내경현미수술（transanal endoscopic microsurgery，TEM）치료직장종류적림상료효。방법：분석총결당산시인민의원우2014년2월지2014년8월진치20례 TEM환자，대기술중출혈、술후출혈、술후감염、술후대편실금등병발증급평균주원시간등래평개기림상료효。결과：20례 TEM환자균획득종류적완정절제，기중14례위융모관상선류，합병3례위반고급별상피내류변，4례위고분화선암，2례위직장유암。술후표본절연병리균위음성，술중출혈균＜10ml，술후미출현출혈、대편실금、감염등병발증，5례환자술후제1천출현경미항문동통불괄，급여대증처리후，술후제이천완해。평균주원시간위4．5천。결론：경항문내경현미수술（TEM）대우치료직장종류시일충안전가행、유효적술식，구유교호적림상료효。
Objective:To evaluate the clinical ef icacy of transanal endoscopic microsurgery (TEM)for rectal tumors.Methods:Data from the twenty patients who received TEMoperation between February 2014 and August2014 in Tangshan People's Hospital,which were analyzed and summarized to evaluate clinical ef icacy in complications including bleed loss,postoperative bleed-ing,postoperative infection ,fecal incontinence and the average time of hospitalization.Results:Al the patients’tumor were removed completely by TEM,during the tewnty cases,fourteen cases were vil ousa -tubular adenomas,three cases were high grade intraepithelial neoplasia ,four cases were high dif erentiated adenocarcinoma and two cases were rectal carcinoid.According to the pathological,al margins were negative.The bleeding was less than 10ml.Postoperative bleeding,fecal incontinence,infections and other complications did not appear on.There were five patients appeared mild pain and discomfort for their anal after operating.Given symptomatic treatment ,the patients have relieved after the second day.The postoperative average hospital stay was 4.5 days.Conclusion:TEMis a safe and ef ective surgical approach,which is provided with bet er clinical results for the treatment of rectal tumors.
