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小儿纤维结肠镜检查操作常规(试行) 被引量:18

Thediagnosisandtreatmentofcolonicpolyposisinchildrenwithfibro┐colonoscope
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摘要 小儿纤维结肠镜检查操作常规(试行)中华儿科杂志编辑委员会(1996年5月上海第一届儿科消化内镜临床应用专题学术研讨会通过)一、适应证1.下消化道出血;2.慢性腹泻;3.恶变的监视——溃疡性结肠炎,家族性结肠息肉病等;4.肠放射学检查异常但不能定性者;... Tostudythediagnosticvalueoffibro-colonoscopeandtheusefulnessofhigh-frequen-cyelectrocoagulatioresectioninchildrenwithcolicpolyposis,weexamined609childrenaged2monthsto14yearsbyfibro-colonoscope,ofwhom442patientshadhematocheziaastheircardinalsymptomand244werediagnosedofcolicpolyposis.Snarehigh-frequencyelectrocoagulationpolypec-tomieswereperformedon151casesand18ofthemwerereexaminedbycolonoscopethereafter.Theresultsshowedthat97.0%(261/269)oftheirpolypswerelocatedontheleftsideofthecolonand15.2%(37/244)ofpatientshadmultiplepolyps.Juvenilepolypwasfoundtobethemostcommontypeofpolyps(80.7%,96/119),whileinflammatorypolyp,adenomatouspolyp,P-Jpolypandfa-milialpolyposisofcoloncomprisedthebalancesuccessively.Thefolow-upstudyshowedthat5casesofpolypsrelapsed,3wereofmisseddiagnosisduringpastexamination,andtheother10remainednormal.Theresultsindicatedthatfibro-colonoscopeshouldbeconsideredasthefirstchoiceofproce-duresforthediagnosisofcolicpolyposis.High-frequencyelectrocoagulationresectionwasasafeandeffectivemethodforitstreatment.Itwasalsoimportantthatpolypsspecimensshouldbesentforhistopathologicalreview.
出处 《中华儿科杂志》 CAS CSCD 北大核心 1996年第5期306-308,共3页 Chinese Journal of Pediatrics
关键词 结肠镜检查 结肠息肉 儿童 治疗 ColonoscopyColonicpolyps
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参考文献1

  • 1黄信孚,胃肠病学(第2版),1993年

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