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篇1

[關鍵詞] 腎上腺素；腹腔鏡；結腸鏡；結腸息肉

[中圖分類號] R735.53 [文獻標識碼] A [文章編號] 1674-4721（2012）07（a）-0036-02

Study of injection of Epinephrine assisted by laparoscopy, colonoscopy combined with surgical in the treatment of colon polyps

ZHU Chengkun1 XIAO Xueyun1 BAO Huadong2

1.Hongmei Hospital of Dongguan City in Guangdong Province, Dongguan 523160, China; 2.Daojiao Hospital of Dongguan City in Guangdong Province, Dongguan 523176, China

[Abstract] Objective To discuss the clinical effect of injection of Epinephrine assisted by laparoscopy, colonoscopy combined with surgical in the treatment of colon polyps. Methods Eighty patients taking resection of colon polyps from August 2010 to April 2012 were collected and divided into 40 cases of treatment group and 40 cases of control group according to different treatment methods. All patients of treatment group were taken the treatment of injection of Epinephrine assisted by laparoscopy, colonoscopy combined with surgical, while the control group took the treatment of single laparoscopy, colonoscopy combined with surgical. Results Through the observation and analysis, there were no significant differences of the surgical time between the two groups, but the intraoperative blood loss of the treatment group was significantly less than that of the control group (P < 0.05). Conclusion The injection of Epinephrine assisted by laparoscopy and colonoscopy combined with surgical in the treatment of colon polyps can significantly reduce the intraoperative blood loss, which is worthy of clinical application.

[Key words] Adrenalin; Laparoscopy; Colonoscopy; Colon polyps

結腸息肉是結腸黏膜上皮及黏膜下腺體局限性增生向表面腔內突起的良性病變，息肉易發(fā)生糜爛、出血、癌變，特別是腺瘤肉，文獻報道，2.9%～9.4%的結腸息肉發(fā)生癌變[1]。當前我國顯示直徑>1 cm以上的腺瘤肉癌變率高，管狀腺瘤為3%～8%，絨毛狀腺瘤可高達25%～30%。因此結腸息肉的檢出與治療對結腸癌的防治具有重要意義。當前結腸鏡下治療結腸息肉在我國各級醫(yī)院均有不同程度的開展，但在治療過程中可有腸穿孔、腸瘺等嚴重并發(fā)癥的發(fā)生。本文為此具體探討了注射腎上腺素輔助腹腔鏡、結腸鏡聯(lián)合手術治療結腸息肉的臨床效果，現(xiàn)報道如下：

1 資料與方法

1.1 一般資料

本文搜集2010年8月～2012年4月行結腸息肉切除的患者80例。所有病例術前均經(jīng)結腸檢查，診斷為廣基結腸息肉并排除高血壓、心律失常等疾病。其中，男65例，女15例；年齡25～68歲，平均年齡（45.5±6.8）歲。根據(jù)治療方法的不同，把上述患者分為治療組40例與對照組40例，兩組一般資料差異無統(tǒng)計學意義（P > 0.05）。