结肠息肉内镜下诊疗分析(附320例报道)

Analysis on Endoscopic Therapy in 320 Cases with Colon Polyps

目的分析320例结肠息肉患者内镜检查及治疗结果。方法采用OlympusCF-V70型电子结肠镜,PSD-20型高频电发生器,检查及治疗320例结肠息肉患者。结果320例患者共检出并摘除息肉411枚,其中腺瘤性息肉217枚(52.8%),病理提示中-重度不典型增生21枚(5.05%)。所有息肉均一次性成功切除,发生并发症3例(0.7%),其中穿孔1例、出血2例。结论常规结肠镜检查能够及时发现结肠息肉,及早行内镜下息肉切除有利于防止癌前病变恶变,具有痛苦小、恢复快、耗资低等优点,且可避免剖腹手术。

Objective To analyze the results on endoscopic examination and therapy of 320 cases with colon polyps. Methods 320 cases with colon polyps were examined and cured with Olympus CF-V70 electronic colonoscope and PSD-20 electrosurgical unit. Results 411 polyps were checked in 320 patients, 217 （52.8%） adenoma polyps and 21 （5.05%） polyps with moderate-severe atypical hyperplasia in them. All the polyps were triumphantly resected, but 3（0.7% ） cases had complication that was one intestine perforation and two bleedings. Conclusion Large intestine polyps can be discovered in time by conventional endoscopic examination. Early endoscopic polypectomy is good to preventing polyp from precancerous change and cancer. Endoscopic therapy is good therapy with little suffering, healing in short time,cheaply and laparotomy can be avoided.