经内镜高频电凝摘除结肠息肉30例

Extracting the colic polyp by endoscopic high frequency electrocoagulation

目的 对反复解鲜血便或粘液血便 ,偶有血便病人确诊。方法 用纤维结肠镜对其进行检查。结果 发现结肠息肉 3 0例 ,其中直肠 15例 ,乙状结肠 10例 ,降结肠 3例 ,升结肠 2例。每例颗数在 1～ 5颗之间 ,1颗 10例 ,2颗 15例 ,3颗 3例 ,4颗 1例 ,5颗 1例。所有息肉均经内镜高频电凝摘除 ,未见严重并发症。术后病理检查 :炎性息肉 18例 ,管状腺瘤 8例 ,纤维息肉 2例 ,幼年性息肉 2例。结论 高频电凝摘除结肠息肉术方法简单 ,病人痛苦少 ,费用低 ,安全有效 ,是取代开腹术最成熟的内镜治疗技术 ,值得推广应用。

Objective To diagnose patients who repeatedly dejected bloody stool or mucous bloody stool. Methods All the patients were examined by fibro-colonscope. Results The examination found out 30 patients with colic polyp, and 15 of them in the rectum, 10 in the sigmoid colon, 3 in the descending colon and 2 in the ascending colon. Each case had at least one to five polyps, 10 of the cases had one polyp, 15 cases had 2 polyps, 3 cases had 3 polyps, 1 case had 4 polyps and 1 case had 5 polyps. All the polyps were extracted out by endoscopic high frequency electrocoagulation and no complication occurred. The pathologic examination after operation found out: 18 cases had inflammatory polyp, 8 had tubular gland neoplasm, 2 had fibropolypus and 2 had juvenile polyp. Conclusions The high frequency electrocoagulation to extract the colic polyp was a kind of simple, less pain, less cost, and safe therapy, and it was worthy to be widely recommended. This good method could replace laparotomy.