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目的:探讨内镜在直肠癌术后出血诊断和治疗中的价值。方法:回顾性分析南京医科大学第一附属医院胃肠外科2008年至今直肠癌术后出血的临床资料,总结其相关因素及治疗方法。结果:3例术后出血患者均在保守治疗基础上结合内镜下明确诊断后辅以止血夹止血。结论:内镜技术应用于治疗直肠癌术后吻合口或创面的活动性出血效果确切,创伤小、恢复快,是值得推荐的首选治疗手段。
Objective: To investigate the value of endoscopy in diagnosis and treatment of postoperative hemorrhage in rectal cancer. Methods: The clinical data of postoperative rectal cancer bleeding from 2008 to present in gastrointestinal surgery of the First Affiliated Hospital of Nanjing Medical University were retrospectively analyzed. The related factors and treatment methods were summarized. RESULTS: All the 3 cases of postoperative hemorrhage were treated with endoscopic hemostasis and hemostasis after conservative diagnosis. Conclusion: The endoscopic technique is effective for the treatment of active hemorrhage of rectal cancer after anastomotic or wound healing. It is a preferred treatment method because of its minimal trauma and quick recovery.