摘要
目的：探讨内镜下黏膜切除术（EMR）治疗大肠息肉的安全性和疗效。方法对2009年3月至2013年10月昆明市第一人民医院内镜检查发现的34例患者，行36次大肠息肉切除及镜下治疗结果进行分析，对于山田分型Ⅰ~Ⅲ型、大小0.5~2.0cm的息肉病变进行黏膜下注射后行高频电圈套切除。结果除横结肠近脾曲处广基底息肉l例行EPMR，直肠距离肛门口4cm息肉术后出血转外科在肛门镜下缝合创面止血外，术后出血再次镜下治疗2例，穿孔0例，感染0例。结论采用EMR治疗无蒂、亚蒂或广基息肉操作简便，安全有效，病灶切除完整，治愈率高，疗效确切。
Objective To discuss the safety and efifcacy of endoscopic mucosal resection （EMR） in treating colorectal polyps. Methods To analyze 34 patients’ colorectal polyps which were found by endoscopic examination in the First People’s Hospital of Kunming from March 2009 to October 2013, who were altogether given 36 polypectomies, together with their endoscopic treatment results. The patients whose polyp lesions belong to Yamada type Ⅰ-Ⅲ and the size range from 0.5 cm to 2.0 cm were given submucosal injection and then high-frequency electric snare resection. Results 1 case of Kwong Ga polyps near the splenic lfexure of the transverse colon was given EPMR; 1 case of rectal polyp 4 cm near the anal opening was given the polyp surgery and suffered postoperative bleeding ,who was transferred to the surgical department and sutured the wound to stop bleeding with the help of anoscope; 2 cases suffered postoperative bleeding after EMR and were given endoscopic treatment again; no perforation; no infection. Conclusion EMR is easy, safe and effective in the treatment of Sessile, Rebagliati or Kwong Ga polyps; the focus of infection may be completely excised; the cure rate is high; the efifcacy is exact.
出处
《中国医药指南》
2014年第7期20-20,22,共2页
Guide of China Medicine
