改良的乐奥尼龙绳息肉根部结扎术在结直肠大息肉摘除中的应用

Clinical application of modified leonylon rope polyp root ligation in colorectal large polyp removal

摘要:

目的 探讨改良的乐奥尼龙绳息肉根部结扎术在结直肠大息肉摘除中的应用效果。方法 回顾性分析2018年1月－2022年11月该院应用改良的乐奥尼龙绳息肉根部结扎术治疗的136例 ≥ 1.0 cm结直肠息肉患者的临床资料，最大息肉3.0 cm×5.0 cm，观察术后出血、穿孔、感染、息肉切缘病理、恢复进食时间、住院时间和随访情况等。结果 136例结直肠大息肉均顺利摘除，平均操作时间（16.0±8.2）min，135例患者无术后出血、穿孔和感染，仅有1例患者术后出血，经肠镜检查证实为尼龙绳脱落后出血，直接上止血夹止血。息肉术后切缘病理均为阴性，所有患者均在术后24 h内进食，住院时间（2.2±1.7）d，术后3～6个月随访复查肠镜，显示尼龙绳均已经脱落，所有创面均为白色瘢痕，表面无息肉残留。结论 改良的乐奥尼龙绳息肉根部结扎术用于结直肠大息肉摘除，是一种操作简便，且安全有效的方法。

Abstract:

Objective To investigate the efficacy of modified leonylon rope polyp root ligation in the removal of large colorectal polyps.Methods A retrospective analysis was performed for the treatment of 136 cases of ≥ 1.0 cm colorectal polyps, the largest polyp was about 3.0 cm×5.0 cm, from January 2018 to November 2022, and postoperative bleeding, perforation, infection, polyp incision pathology, resumption of feeding time, hospital stay and follow-up were observed.Results All the 136 large colorectal polyps were successfully removed by the above method, the average operating time was (16.0 ± 8.2) min. 135 patients had no postoperative bleeding, perforation and infection, and only one case of postoperative bleeding, the hemostatic clamp was directly used to stop the bleeding after colonoscopy confirmed that the nylon rope had fallen off. The pathology of the resection margin after polyp surgery was negative, all patients ate within 24 h after surgery, the average hospital stay was (2.2 ± 1.7) d, and the re-examination of colonoscopy after 3~6 months of follow-up showed that the nylon rope had fallen off, all wounds were white scars, and there was no polyp residue on the surface.Conclusion Modified root ligation of leonylon rope polyp for colorectal large polyp removal is a simple, safe and effective method.