小儿肠息肉内镜治疗:附584例临床分析

Endoscopic treatment of bowel polyps in children: A report of 584 cases

为了进一步探讨内镜下利用高频电流治疗小儿肠息肉的体会,作者对584例结肠息肉患儿应用纤维结肠镜行高频电凝电切灼除息肉,并对其中4例合并小肠息肉者,采用经肠切口插入纤维结肠镜的方法配合外科治疗小肠息肉。全组共电凝电切结肠息肉738枚,小肠息肉43枚本组幼年性息肉占88.8％,全部病例未发生严重并发症。作者体会肠镜下高频电灼除术是治疗儿童结、直肠息肉有效而安全的方法;剖腹术经肠切口插入纤维结肠镜可一次清除小肠全部息肉,操作简便而安全可靠。

To explore the value of the high frequency electrocoagulation resection under endoscopy for the treatment of bowel polyps in children, colorectal polyps in 584 cases were removed under fibro-colonoscope by the high frequency electro-coagulation resection. Four cases combined intestinal polyps were treated by colonoscopic polypectomy via exploratory laparo-tomy. The results showed that 738 colorectal polyps and 43 intestinal polyps were removed by the high frequency electrocoagulation resection and colonoscopic polypectomy via exploratory laparotomy, respectively. No bleeding, perforation and other complications were observed in these children during operation. 83. 9% of colorectal polyps were located in rectosigmoid and 85.3% of children were with solitary polyps. Histologic examination showed that 88.8% of 492 polyps were Juvenile polyps. It is concluded that the high frequency electrocoagulation resection under fibro-colonoscope is safe and effect for the treatment of bowel polyps in children, and the complications of polyps such as intestinal obstruction, hemorrhage and malig- nant degeneration could be hence prevented.