常见肠镜标本回收方法的体会

Methods Enteroscope Sample Recovery and Common

本院从1998年6月~2014年1月,共行6321例肠镜检查,其中息肉摘除538例,当<0.3cm息肉活检钳直接摘除并送病检,方便可靠,但活检标本组织较小,易破碎。而且,若息肉过大,仅行活检,创面易出血。对于>0.3cm息肉,我们常规使用圈套器圈套摘除。当>0.5cm息肉,常见摘除方法依然是圈套摘除,通过网篮、圈套器、异物钳等器械将组织取出,或者联合应用电子结肠镜和肛门镜回收巨大息肉。根据患者具体分析个体的差异,选择适合于该患者的最佳检查方案。使检查过程顺畅,减少患者在检查中的不适,减少漏诊和误诊的发生,提高诊断的准确率。

In this hospital from 1998 June to 2014 January,a total of 6321 cases of colonoscopy,the polyp in 538 cases,<0.3cm polyp biopsy forceps directly removed and sent for pathological examination,convenient and reliable,but biopsy tissue is smal,easily broken.Moreover,if polyp is too large,only a biopsy,easy bleeding wound.For the>0.3cm polyps,we routinely use a snare trap removal.>0.5cm polyps,common extraction method is stil the trap removal,through the basket,snare,forceps were used to remove the organization,or the joint application of electronic colonoscopy and the anus mirror recovery polyp.According to patients with specific analysis of individual differences,the best choice scheme suitable for the patients.The inspection process,reduce patient discomfort during the inspection,reduction of missed diagnosis and misdiagnosis,improve the accuracy of diagnosis.