经阴道切除大型直肠腺瘤的结果
Outcome of transvaginal excision of large rectal adenomas.
作者信息
Fu Tao, Liu Baohua, Zhang Lianyang, Wen Yayuan
机构信息
Department of General Surgery, Daping Hospital and Field Surgery Institution, Third Military Medical University, Chongqing, China.
出版信息
Int J Colorectal Dis. 2005 Jul;20(4):334-7. doi: 10.1007/s00384-004-0691-4. Epub 2005 Jan 26.
PURPOSE
The purpose is to recommend a new approach-transvaginal excision-for large rectal adenomas and audit its results after being performed by dedicated surgeons at a specialized colorectal unit.
METHODS
The surgical outcome of 11 patients undergoing transvaginal excision between July 1995 and March 2000 was reviewed. Data were collected retrospectively and no patients were lost to follow-up.
RESULTS
Eleven patients underwent the procedure during the study period. Follow-up ranged from 7 to 75 months. There were complications in two patients. One had urinary retention, the other developed a rectal stenosis, which was resolved with multiple balloon dilatations. There was only one recurrence detected. None of the patients died.
CONCLUSIONS
Transvaginal local excision is an alternative and feasible technique for the treatment of selected large sessile rectal adenomas that carries low mortality and complication rates.
目的
旨在推荐一种新方法——经阴道切除术，用于治疗大型直肠腺瘤，并由专业结直肠科单位的专业外科医生实施该手术，然后评估其结果。
方法
回顾了1995年7月至2000年3月期间11例行经阴道切除术患者的手术结果。数据为回顾性收集，无患者失访。
结果
研究期间11例患者接受了该手术。随访时间为7至75个月。2例患者出现并发症。1例发生尿潴留，另1例出现直肠狭窄，经多次球囊扩张后缓解。仅检测到1例复发。无患者死亡。
结论
经阴道局部切除术是治疗部分大型无蒂直肠腺瘤的一种可供选择且可行的技术，其死亡率和并发症发生率较低。
Zotero 插件