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目的研究肛门内镜显微手术治疗良性直肠肿瘤的近期疗效及并发症。方法选择2011年3月至2015年3月50例良性直肠肿瘤患者作为研究对象,观察组30例行肛门内镜显微手术,对照组20例行传统肛门肿瘤切除术。观察两组患者手术时间、术中出血量、康复时间及并发症情况。结果观察组治疗总有效率和术后并发症总发生率分别为96.67%和10%,对照组分别为75%和40%,组间比较差异有统计学意义(P<0.05)。观察组住院时间、术中出血量及术后首次排气时间均显著低于对照组,差异有统计学意义(P<0.05)。结论肛门内镜显微手术治疗良性直肠肿瘤疗效满意,且术中出血量少、术后并发症少,临床应准确掌握其适应证,规范操作。
Objective To study the short-term efficacy and complications of anal endoscopic microsurgery in the treatment of benign rectal tumors. Methods Fifty patients with benign rectal tumors from March 2011 to March 2015 were selected as the study objects. Thirty patients in the observation group underwent anal endoscopic microsurgery and 20 in the control group underwent traditional anal tumor resection. The operation time, intraoperative blood loss, recovery time and complications of the two groups were observed. Results The total effective rate of treatment and postoperative complications in the observation group were 96.67% and 10% respectively, while those in the control group were 75% and 40%, respectively. There was significant difference between the two groups (P <0.05). The length of hospital stay, intraoperative blood loss and postoperative first exhaust time in the observation group were significantly lower than those in the control group (P <0.05). Conclusion Anal endoscopic microsurgical treatment of benign rectal tumors with satisfactory results, and less blood loss, less postoperative complications, clinical indications should be accurate and standardized operation.