CAJ | 학술논문

目的：研究低位直肠良性肿瘤应用吻合器经肛门行直肠黏膜选择性切除钉合术（ TST）的安全性和长期疗效。方法收集162例低位直肠良性肿瘤的患者，其中90例行TST治疗（ TST组），72例行传统经肛门肿物切除术（对照组），就两组切除肿瘤的完整程度，术中、术后并发症和复发率进行对比统计分析。结果 TST组均顺利切除肿瘤，手术时间、术中出血量、住院时间显著低于对照组（P＜0．05），切除组织的完整程度显著高于对照组（P＜0．05），复发率显著低于对照组（P＜0．05），术后并发症差异无显著性意义（P＞0．05）。结论应用TST治疗低位直肠良性肿瘤具有较好的疗效和较低的复发率。
목적：연구저위직장량성종류응용문합기경항문행직장점막선택성절제정합술（ TST）적안전성화장기료효。방법수집162례저위직장량성종류적환자，기중90례행TST치료（ TST조），72례행전통경항문종물절제술（대조조），취량조절제종류적완정정도，술중、술후병발증화복발솔진행대비통계분석。결과 TST조균순리절제종류，수술시간、술중출혈량、주원시간현저저우대조조（P＜0．05），절제조직적완정정도현저고우대조조（P＜0．05），복발솔현저저우대조조（P＜0．05），술후병발증차이무현저성의의（P＞0．05）。결론응용TST치료저위직장량성종류구유교호적료효화교저적복발솔。
Objective To assess the safety and long-term effectiveness of tissue-selecting therapy (TST) for benign tumor in anorectum, in comparison with mass resection therapy.Methods 162 Patients with benign tumor of anorectum were divided into the therapy group and the control group.90 patients were treated with TST, while 72 patients had anal mass resection therapy.Tumor integrity, intraoperative and postoperative complications, and recurrence rate were compared between the two groups.Results All tumors in the treatment group were completely resected.The operation time, intraoper-ative bleeding, hospital stay and the recurrence rate were significantly lower than the control group (P<0.05).The tumor integrity was higher than the control group (P<0.05).There was no significant difference in the postoperative complica-tions between the two groups (P>0.05).Conclusion TST has better efficacy and lower recurrence rate in the treatment of benign anorectal tumors.