电子肠镜下大肠息肉电切治疗180例临床体会

Clinical experience of 180 cases of electrovaporization for large intestine polyps under video colonoscopy

目的探讨电子肠镜下运用高频电切方法摘除大肠息肉的可行性及临床疗效。方法180例患者采用日本PENTAX3830MK电子肠镜配合olympus PSD-20型高频电烧灼器及附属设备,摘除大肠息肉,并观察临床疗效。结果180例中腺瘤性息肉130例(72.3%)、炎性息肉31例(17.2%)、不典型增生及腺瘤癌变患者19例(10.5%),一次治愈171例(95%),二次治愈9例(5%),其中穿孔1例。结论在电子肠镜下运用高频电切行大肠息肉摘除术,疗效可靠,病人易接受,可有效地防止和降低大肠癌的发生率,值得临床推广应用。

Objective To discuss the feasibility and clinical effects of elerctrovaporization for large intestine polyps under video colonoscopy. Methods A total of 180 cases were treated with electrovaporization under the Japanese PENTAX 3830 MK colonoscopy by olympus PSD-20 for the extirpation of large intestine polyps and the clinical effects were observed. Results There were 130 cases of adenomatous polyps （72. 3% ）, 31 cases of imflammatory polyps（ 17.2% ）, 19 cases of hyperplasia and adenoma cancerization（ 10. 5% ）, 171cases were curded in the first treatment（95% ）, 9 cases were cured in the second treatment（5% ）, perforation occurred in 1 case. Conclusion Electrovaporization for large intestine polyps under videocolonoscopy is reliable and acceptable, it can prevent cancer in large intestine, it deserves extending in clinic.