肠镜下切开引流术治疗直肠黏膜下脓肿的初步研究*

Primary study on incision and drainage under endoscope in patients with rectal submucosal abscess*

摘要:

摘要：目的??评价肠镜下切开引流术治疗直肠黏膜下脓肿的临床疗效和安全性。方法?回顾性分析2013年1月－2018年12月在中国科学院大学宁波华美医院行肠镜下直肠黏膜下脓肿切开引流术的70例患者的临床资料，分析治疗及并发症发生情况。结果?均成功行肠镜下脓肿切开引流术，平均操作时间（15.0± 5.2）min。24例患者脓腔巨大置入引流管，46例患者脓腔较小置入引流条，3 d后拔除引流管及引流条。所有患者均治愈出院，无明显并发症发生，无1例死亡。术后随访12个月，16例患者形成肛瘘，来院行肛瘘手术后治愈，54例患者未再复发。结论?在有经验的内镜中心，对于直肠黏膜下脓肿患者行肠镜下切开引流术是一种安全、有效的微创治疗方法。

Abstract:

Abstract: Objective?To evaluate the clinical therapeutic effect and safety of incision and drainage under endoscope in patients with rectal submucosal abscess.?Methods?Patients underwent endoscope-assisted incision and drainage for rectal submucosal abscess from January 2013 to December 2018 were included in the research. Patients’ clinical data was retrospectively collected and analyzed to evaluate therapeutic and clinical complications.?Results?70 patients with rectal submucosal abscess were included in this research, all of them underwent endoscopic incision and drainage successfully. The mean operation time was (15.0 ± 5.2) min. Drainage tubes were put for 24 patients with massive abscess cavity and drainage strips was used for 46 patients with smaller cavity. The tubes or strips were removed in 3 days postoperation. All the 70 patients were discharged with no morbidity or operation-related mortality. In the follow-up of 12m postoperation, 16 patients underwent curative operation for post-operation anal fistula, 54 patients did not have recurrence.?Conclusion?Incision and drainage under endoscope is a safe and effective minimal invasive therapy for rectal submucosal abscess in experienced endoscopic centers.