副县长述职述德述廉范文

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篇1

[关键词] 肾上腺素；腹腔镜；结肠镜；结肠息肉

[中图分类号] R735.53 [文献标识码] A [文章编号] 1674-4721（2012）07（a）-0036-02

Study of injection of Epinephrine assisted by laparoscopy, colonoscopy combined with surgical in the treatment of colon polyps

ZHU Chengkun1 XIAO Xueyun1 BAO Huadong2

1.Hongmei Hospital of Dongguan City in Guangdong Province, Dongguan 523160, China; 2.Daojiao Hospital of Dongguan City in Guangdong Province, Dongguan 523176, China

[Abstract] Objective To discuss the clinical effect of injection of Epinephrine assisted by laparoscopy, colonoscopy combined with surgical in the treatment of colon polyps. Methods Eighty patients taking resection of colon polyps from August 2010 to April 2012 were collected and divided into 40 cases of treatment group and 40 cases of control group according to different treatment methods. All patients of treatment group were taken the treatment of injection of Epinephrine assisted by laparoscopy, colonoscopy combined with surgical, while the control group took the treatment of single laparoscopy, colonoscopy combined with surgical. Results Through the observation and analysis, there were no significant differences of the surgical time between the two groups, but the intraoperative blood loss of the treatment group was significantly less than that of the control group (P < 0.05). Conclusion The injection of Epinephrine assisted by laparoscopy and colonoscopy combined with surgical in the treatment of colon polyps can significantly reduce the intraoperative blood loss, which is worthy of clinical application.

[Key words] Adrenalin; Laparoscopy; Colonoscopy; Colon polyps

结肠息肉是结肠黏膜上皮及黏膜下腺体局限性增生向表面腔内突起的良性病变，息肉易发生糜烂、出血、癌变，特别是腺瘤肉，文献报道，2.9%～9.4%的结肠息肉发生癌变[1]。当前我国显示直径>1 cm以上的腺瘤肉癌变率高，管状腺瘤为3%～8%，绒毛状腺瘤可高达25%～30%。因此结肠息肉的检出与治疗对结肠癌的防治具有重要意义。当前结肠镜下治疗结肠息肉在我国各级医院均有不同程度的开展，但在治疗过程中可有肠穿孔、肠瘘等严重并发症的发生。本文为此具体探讨了注射肾上腺素辅助腹腔镜、结肠镜联合手术治疗结肠息肉的临床效果，现报道如下：

1 资料与方法

1.1 一般资料

本文搜集2010年8月～2012年4月行结肠息肉切除的患者80例。所有病例术前均经结肠检查，诊断为广基结肠息肉并排除高血压、心律失常等疾病。其中，男65例，女15例；年龄25～68岁，平均年龄（45.5±6.8）岁。根据治疗方法的不同，把上述患者分为治疗组40例与对照组40例，两组一般资料差异无统计学意义（P > 0.05）。