内镜夹子结扎术与高频电切术治疗结肠大息肉的比较

Comparison of Endoscopic Clips Ligation and Snare Resection in Treating Giant Colonic Polyps

目的探讨比较内镜夹子结扎术与高频电切术治疗儿童结肠大息肉应用价值及其影响治疗因素。方法回顾性分析内镜治疗儿童结肠大息肉68例临床资料,其中应用Olympus金属夹闭器,选用MH-858钛合金夹子,内镜下夹子结扎术治疗35例;运用Olympus PSD-10型高频电发生器,内镜下圈套高频电切术治疗33例。结果内镜夹子结扎术治疗结肠息肉35例,术后内镜复诊均临床治愈,仅3例术后少量便血,无术后大出血或肠穿孔。内镜下圈套高频电切术治疗患儿33例,内镜下圈套高频电切术失败中转剖腹手术治疗1例,术后大出血10例,术后并息肉切除后综合征8例。结论内镜夹子结扎术治疗儿童结肠大肉息并发症发生率明显低于内镜下圈套高频电切术,内镜夹子结扎术为治疗小儿结肠大息肉提供了一种安全、有效和简便的新途径。

Objective To analyzed 68 children with giant colonic polyps （polyp diameter〉2 cm） who were treated with endoscopic polypeetomy in 2 different means, respectively. Methods The clinic data of 68 children with giant colonic polyps were review analyzed. Thirty-five cases were received endoscopic clips ligation and the other 33 cases were received endoe, copic snare resection. Results All the 35 cases out of endoscopic dip ligtion group were sueessfully cured. There were only 3 cases showedl a little bleeding in this group. In the endoscopic snare resection group, there were 10 cases showed bleeding, 8 cases showed polypectomy syndrome, 1 case transferred into operation. Conclusions The complication incidence in endoscopic clips ligation group is lower than that in endoscopic snare resection grouo. The endoscopic clipping brings about an effective and safe way to treat giant colonic polyps in children.