大肠息肉的内镜诊断治疗

Endoscopic diagnosis and treatment of large intestine polypus

目的 :探讨内镜检查和治疗大肠息肉的疗效及技术特点。 方法 :对 10 3例大肠息肉患者的 15 1枚息肉行内镜下电切除术。镜下采用混合电凝、电切法 ,息肉过大者采用分次套切法 ,无蒂息肉先进行粘膜下注射生理盐水 ,使息肉隆起后再分块电切。息肉离断残基无活动出血后退镜。 结果 :15 1枚息肉中 5 3枚 (35 % )完整切除 ,术后 1年复查未发现残留癌组织。 98枚 (6 4 .9% )分块切除 ,有 1例术后 1年复查发现有残留癌组织。随访中发现9例患者有新生腺瘤。 结论 :经内镜检查切除大肠息肉是安全和有效的治疗方法。

Objective: To discussion the Discovering and treat polypus curative effect and technique distinguishing feature are resected by endoscopy. Methods: Examined out large intestine polypus 103 case by endoscopy, total to 151 piece were got off with the electricity in the way of the endoscope to be resected. Adopting the blending electricity to coagulate and cut polypus under endoscopy. Applying to the minute degree suit polypus resecing to pass through greatly, local submucosal injection of saltion to produce mucosal bulging at the immediate vicinity of polys was performed, and the electrocoagulative snare exsection of polyps was done under endoscopy. The polypus parts from to snap that the deficient foundation is not bleeding before drawing back the endoscope. Results: 53 of 151 piece polypus (35.0%)integrately resected, the cancer cell was not discovered after 1 year following endoscopy, 98 block polypus(64.9%)were piece-resected, there is 1 polypus which discovered remaining the cancer cell after 1 year re-examination. the newly born adenoma were discovered in 9 patients by regularly following up. Conclusion: The large intestine polypus which is resected under the endoscopy and regularly followed up is safe and effective treating way.