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目的:探讨痔上黏膜环形切除钉合术(PPH)治疗直肠广基息肉的方法、优缺点及安全性。方法:对52例距肛门10cm内,直径>0·5cm~≤2cm的广基息肉使用PPH术行局部切除,对病灶组织进行连续病理切片检查。结果:手术时间25~43min,术后住院3~7d(平均4d)。术后无吻合口出血、吻合口漏和直肠周围感染;下腹隐痛不适感为30%(16/52);病理诊断恶性肿瘤占9·6%(5/52),肿瘤切除率100%,吻合口愈合良好。分别随访1~4年,纤维结肠镜检查未见肿瘤复发。结论:PPH切除直肠广基息肉是一种简便、安全、有效和术后并发症少的微创治疗方法。
Objective: To investigate the methods, advantages and disadvantages, and safety of hemorrhoids mucosal circumcision and stapling (PPH) in the treatment of rectal polyps. Methods: Fifty-two cases of wide-base polyp with diameter> 0.05cm ~ ≤2cm within 10cm of the anus were treated with PPH for partial resection and continuous pathological examination of the lesion. Results: The operation time ranged from 25 to 43 minutes, and postoperative hospitalization ranged from 3 to 7 days (mean, 4 days). There were no anastomotic bleeding, anastomotic leakage and infection around the rectum. The pain and discomfort in the lower abdomen was 30% (16/52). The pathological diagnosis of malignant tumors accounted for 9.6% (5/52). The resection rate was 100% The mouth healed well. Follow-up 1 ~ 4 years, no recurrence of tumor colonoscopy. Conclusion: PPH resection of rectal polyps is a simple, safe, effective and less postoperative complications of minimally invasive treatment.