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