摘要
目的对高频电凝切治疗大肠巨大息肉的临床疗效进行研究。方法对2006年6月至2011年6月于我院接受高频电凝切治疗的36例大肠巨大息肉的临床资料进行回顾性分析,观察手术的临床疗效和并发症情况,对切除的息肉进行病理检查,随访调查复发情况。结果通过回顾性分析发现巨大息肉直径均>3.0cm,平均直径(3.5±0.5)cm,14例有蒂和6例亚蒂息肉采取电圈套器切除,16例宽基息肉采取黏膜分块切除,息肉切除率高达94.5%,术后未发生出血和穿孔等不良并发症;术后病理检查结果显示7例息肉为绒毛状腺瘤,其中2例息肉伴有低级内瘤变,2例息肉伴有高级内瘤变,其中一例息肉基底高级内瘤变残留,追加开腹手术,7例为绒毛管状腺瘤,其中2例息肉伴有低级内瘤变,其中1例息肉伴有高级内瘤变并累及基底,追加开腹手术治疗,22例为管状腺瘤,其中5例发生低级内瘤变;随访调查1年内未见复发病例。结论内镜下高频电凝切是治疗大肠巨大息肉的有效微创方法,可以有效的预防手术并发症,值得临床借鉴应用。
Objective To high frequency electrocoagulation treatment of large colorectal polyps clinical efficacy study.Methods From 2006 to June-2011 year in June in our hospital high frequency electrocoagulation for treating 36 cases of large colorectal polyps were retrospectively reviewed the clinical data analysis,observation of clinical efficacy and complications of operation condition,the removal of a polypoid pathological examination,follow-up survey of recurrence.Results By retrospective analysis revealed a giant polyp diameter than the average diameter of 3.0cm,（3.2±0.8）cm,14 patients with and 6 cases of Artie polyps take electric snare resection,16 cases of polypus taking mucosal block resection,polyp resection rate as high as 100%,without bleeding and perforation and other undesirable complications;postoperative pathological examination showed 5 cases of polyps for villous adenoma,7 cases of tubulovillous adenoma,24 cases of tubular adenoma,follow-up survey 1 years showed no recurrence cases.Conclusion High-frequency electric coagulation under endoscope in resection is the treatment of large colorectal polyps is effective and minimally invasive method,which can effectively prevent operation complications,worthy of clinical use.
出处
《中国医药指南》
2013年第5期17-18,共2页
Guide of China Medicine
关键词
高频电凝切
大肠巨大息肉
临床研究
High frequency electrocoagulation
Large colorectal polyps
Clinical research
