摘要
探讨内镜下治疗巨大结肠直肠息肉的可行性和安全性。方法 :无蒂息肉采取逐渐切除的方法 ,有蒂息肉则横断切除蒂的方法。结果 :内镜下圈套切除 170例患者 ,共切除大的 (≥ 3cm)息肉 176颗。出血是息肉切除术仅有的并发症占 2 4.1% ,除 1例需住院止血 ,其它所有出血都经过内镜下治疗止血。切除的息肉组织学均为腺瘤 ,同时伴有恶变的占 12 .3 %。 132例患者随访在 6个月以上。结论 :内镜下切除巨大结肠直肠息肉是可行的和安全的。因息肉复发率较高 ,所以要密切观察 ,及时发现和治疗。
Objective: The feasibility and safety of endoscopic treatment of giant colorectal polyps was investigated. Methods: Sessile polyps were removed piecemeal and pedunculated polyps transected at stalk. Results: We reviewed the clinical course after removal of 176 large (≥3cm) colorectal polpys, which were termed removed by endoscopic snare resection in 170 patients. These were termed 'giant' polpys. Bleeding was the only complication in 24.1% of polypectomy procedures. Except for one treated bleed in hospital, all bleeds were treated endoscopically. Histology of resected polyps revealed adenomata. Coexistent malignancy was found in 12.3% of polyps. 132 patients had follow-up of more than 6 months. Conclusions: Endoscopic resection of giant colorectal polyps is feasible and safe. The recurrence rate of polyps was found to be high, hence, close surveillance to detect and treat recurrence is required.
出处
《中国内镜杂志》
CSCD
2000年第4期16-17,共2页
China Journal of Endoscopy
关键词
巨大息肉
内镜
圈套切除
治疗
Giant” Polyps
Endoscopy
Snare Excision$$$$
