大肠息肉182例临床与内镜分析

Clinical And Endoscopic Analysis of 182 Large Intestine Polypus Patients

目的 总结大肠息肉诊断治疗经验 ,探讨症状与息肉部位、大小、组织学类型、患者年龄之间的关系。方法 对1 82例大肠息肉患者的诊疗情况进行回顾性分析。结果 青少年组主要症状为便血 ,中老年组主要症状为腹痛、腹泻 ,便秘集中于中老年组 ,未发现症状与息肉大小、类型、部位有关。 81例患者行镜下高频电息肉切除术 ,治愈 73例 ,好转 5例 ,无效 2例 ,术后肠穿孔 1例。结论 大肠息肉症状与患者年龄有相关性 ,而与息肉的部位、大小、组织学类型无明确的关系。镜下高频电凝切术是治疗大肠息肉的有效、安全的首选措施。

Objective Sum up the experience of diagnosis and treatment for large intestine polypus, investigate the relation between the position, size, pothological type, patient'age and symptoms. Methods The diagnosis and treatment of 182 large intestine polypus patients had been analyzed retrospectively. Results The main symptom of the young group and the senile group was hematochezia and abdominal pain, diarrhoae respectively. Constipation mainly appeared in the senile group. There was no relationship between the size, position, pathological type of polypus and symptoms. Among the 81 cases having high frequency polypectomy by endoscopy, 73 cases cured, 5 cases improved, 2 cases ineffected, 1 case had intestinal perforation postoprative. Conclusion Symptoms of large intestine polypus have relationship with the age of the patients, but have no evident relationship with the size, position, pothological type. High frenquency therapy by endoscopy is the effective, safe and first-selected treatment for large intestine polypus.