内镜治疗结直肠大息肉的临床价值

Clinical Value of Endoscopic Treatment for Large Colorectal Polyps

目的:探讨内镜下切除结直肠大息肉的临床价值。方法:回顾分析2007年6月—2010年12月行内镜下切除的89例结直肠大息肉患者的临床资料。结果:89例患者患有大息肉94枚,其中亚蒂或广基20枚,侧向发育型肿瘤9枚,息肉最大直径为2.0～5.5 cm;所有息肉均在内镜下完整切除,并发出血6例,穿孔2例,并发症均在内镜下处理成功;术后病理诊断:腺瘤性息肉75枚(79.8%),炎性增生息肉13枚(13.8%),腺癌6枚(6.4%),其中黏膜内癌4枚。术后3例腺瘤患者复发,再次行内镜下切除,随访无复发。结论:内镜下行结直肠大息肉切除安全可靠、创伤小、疗效确切。

Objective：To evaluate the clinical value of endoscopic treatment {or large polyps in rectum and colon. Methods： The clinical data of 89 cases of large colorecta polyps treated with endoscopic resection from June 2007 to December 2010 was ana lysed retrospectively. Results： All 94 polyps in 89 cases were removed completely, including 20 thick-pedunculated or sessile polyps and 9 1 aterally spreading tumor. All lesions were larger than 2cm, and the largest one was 5.5cm. Bleeding occurred in 6 patients after resection （6.7%）. Perforation occurred in 2 patients （2.1 %） All complications were treated endoscopically. Histopathology results showed that adenoma was 75 （85.5%） , hyperplastic polyps 13 and carcinoma 6, include 4 cases of mu cosal carcinoma. During a meaning follow up period of 16 months, 3 patients with adenoma developing recurrences were treated endoscopically. No more residual tumor was detected in next following-up. Conclusions： Endoscopic resection of large rectal polyps is a safe and effective technology.