胃、结肠腺瘤内镜下切除分析

Stomach,colon adenoma analysis of endoscopic resection

目的探讨内镜切除胃、结肠瘤的方法及疗效。方法2005年8月～2008年7月采用套帽式内镜切除器,切除胃、结肠瘤30例。结果完全切除27例,完全切除率90%,随访3～6月未见复发,出血4例,未见穿孔、狭窄。结论该方法安全、有效、适应范围广;清晰显示病灶,准确套切,是完全切除的关键,注意粘膜下注药的量、掌握凝切的技巧可有效防止并发症。

Objective To study the endoscopic resection of stomach, colon tumor and efficacy of the method. Methods In August 2005 - July 2008 endoscopic resection using sets of cap - type device, remove the stomach, colon tumors 30 cases. Results Complete resection in 27 cases, complete resection rate of 90%, follow - up of 3 June was no recurrence of bleeding in 4 cases, no perforation, stenosis. Conclusions This method is safe, effective, and to adapt to a wide range; clearly show lesions, precise set of cut is completely removed the key, pay attention to the amount of drugs mucosa bet,master the skills condensate cut can effectively prevent complications.