两种定位方法在腹腔镜结直肠肿瘤手术中的应用效果

目的比较术前自体血标记定位与术前金属钛夹标记定位在腹腔镜结直肠肿瘤手术中的应用效果。方法分析2019年1月至2021年6月60例结直肠肿瘤的患者的临床资料。采用不同的定位方法进行肿瘤的术前定位,其中自体血定位30例,金属钛夹定位30例,定位后行腹腔镜结直肠肿瘤切除手术,现将两组肿瘤的定位效果进行比较。结果所有手术均顺利完成,未发现严重并发症及切缘阳性病例。术前自体血定位的成功率为93.3%,术前金属钦夹标记定位的成功率为73.3%。结论术前自体血标记定位、术前金属钛夹标记定位2种术前定位方法均能获得较为满意的定位效果而使腹腔镜手术顺利完成,在临床实际的应用中,可根据肿瘤位置、大小及患者一般情况选择合适的肿瘤定位方法。

Objective To evaluate the application effect of autologous blood marker positioning and metal titanium clip marker positioning in laparoscopic colorectal tumor surgery.Methods Analyze the clinical data of 60 patients diagnosed with colorectal tumors admitted to the Department of Anorectal Surgery,Ningbo University School of Medicine Affiliated Hospital from January 2019 to June 2021.Different localization methods were used to locate the tumor before operation.Among them,30 were localized by autologous blood and 30 were localized by metal titanium clips.After positioning,laparoscopic colorectal tumor resection was performed.Compare the positional effect of the two groups of tumor.Results All operations were successfully completed,and no serious complications and positive margins were found.The success rate of autologous blood localization was 93.3%(28/30),and the success rate of metal titanium clip marker localization was 73.3%(22/30).Conclusion The two preoperarive positioning methods can achieve satisfactory positioning results and successfully complete laparoscopic surgery.In practical clinical applications,the appropriate tumor localization method can be selected according to the tumor location,size and the general situation of the patient.