经肛门内镜显微手术治疗直肠肿瘤的临床疗效

Clinical Effects of Transanal Endoscopic Microsurgery in the Treatment of Rectal Neoplasms

为探讨经肛门内镜显微手术（TEM）治疗直肠肿瘤的临床疗效，回顾2010年5月至2012年1月浙江省上虞市人民医院收治的98例直肠肿瘤患者资料，其中38例行TEM治疗（治疗组），60例行腹腔镜下直肠癌切除术治疗（对照组），对比分析两组患者临床疗效。结果显示，两组患者均成功完成手术，完整切除了肿瘤病灶，术后病理检查切缘均为阴性。但在手术时间、术中出血量、术中及术后并发症方面，治疗组均明显优于对照组，P＜0．05。结果表明，与腹腔镜手术相比，TEM治疗直肠肿瘤手术时间更短，术中出血量及术后并发症更少，优势明显。

In order to explore the clinical effect of transanal endoscopic microsurgery（TEM） for treating rectal neoplasms,authors retrospectively analyzed the data of 98 patients with rectal neoplasms who were admitted in Shangyu municipal people＇s hospital from May 2010 yr. to Jan. 2012yr. among whom 38 cases had been subjected to TEM（as treatment group）,rest 60 to laparoscopic resection for rectal carcinoma （as control one） ,then their therapeutic effects were compared and analyzed. As results, the operation of both groups were performed successfully, complete resection of neoplasms lesion, and negative pathological examination results of incision margin, but in the time for surgery, intraoperative bleeding volume, intra-and post-operative complication incidence treatment group was significantly shorter, less and less, than control group respectively（ P〈0. 05） ;thus TEM for treating rectal neoplasms is significantly superior to laparoscopic resection.