内镜下自体血注射定位法在腹腔镜手术前应用的临床价值分析

Application of endoscopic autologous blood injection for localization before laparoscopic surgery

摘要:

摘要：目的??探讨内镜下自体血注射定位法在腹腔镜结直肠疾病手术前应用的临床价值。方法 回顾性分析广州市第一人民医院消化内科2016年1月－2018年12月收治的结直肠病变患者21例，在行腹腔镜手术前采用内镜下自体血注射定位法对肿瘤进行定位，总结分析相关病例资料。结果 20例（95.2%）患者在结肠镜下顺利完成自体血定位，术中清晰可见自体血注射后形成的暗红色标记，无穿孔、出血、感染和发热等并发症，1例（4.8%）患者腹腔镜下可见腹腔有血迹伴轻度腹痛，未见发热和腹膜炎等并发症。21例患者均顺利完成腹腔镜下的相关手术，术后病理证实标本切缘阴性。结论 内镜下自体血注射是一种安全、简便、有效的定位法，在腹腔镜结直肠病变手术前可获得较为满意的定位效果，值得临床推广。

Abstract:

Abstract: Objective?To explore the clinical value of endoscopic autologous blood injection for localization in colorectal disease before laparoscopic surgery.?Methods?21 patients with colorectal disease by endoscopic autologous blood injection for tumor localization from January 2016 to December 2018 were analyzed retrospectively.?Results?Of 20 cases (95.2%) completed autologous blood injection for localization under colonoscope successfully, the dark red marks were clearly during the operation, there were no complication such as perforation, bleeding, infection and fever. 1 case (4.8%) had bloodstain in abdominal cavity under laparoscopy accompanied by mild abdominal pain, no fever or peritonitis were found. All of the 21 patients were successfully completed the laparoscopic surgery with negative margin postoperative pathology.?Conclusion?Autologous blood injection under endoscopy is safe, simple and effective localization method, satisfactory effect of localization can be obtained before operation, it is worthy of clinical application.