散发性结直肠腺瘤电切除术的临床评价  

Clinical evaluation of electrotomy therapy for sporadic colorectal adenoma

作　　者：施光亚[1] 张旭[2] 李皖平[2] 穆良珍[2] 

机构地区：[1]福建中医学院附属人民医院消化科,福建福州350004 [2]安徽省蚌埠市第三人民医院消化科,233000

出　　处：《淮海医药》2005年第3期176-178,共3页Journal of Huaihai Medicine

摘　　要：目的　对散发性结直肠腺瘤用电切除术治疗,评价其安全性和疗效。方法　在结肠镜检查发现结直肠息肉的患者中,经过病理检查选择散发性结直肠腺瘤的患者在内镜下用电切除术治疗。结果　5 4颗腺瘤全部采用电切除术切除,腺瘤主要分布在左半结肠(47/ 5 4 ) ,术中出血5例(5 / 2 6 ) ,全部患者无术后迟发性出血、腹痛和穿孔发生。回收腺瘤病理检查有1例癌变(1/2 6 )。术后1年再发生腺瘤2例(2 / 2 6 )。结论　采用电切除术治疗散发性结直肠腺瘤疗效好,并发症少,临床上可做为首选的方法。Objective The aim of t his study was to evaluate the securit a nd the efficacy of electrotomy therapy f or sporadic colorectal adenoma.Method s Among patients with colorectal poly ps diagnosed with the colonoscope,those were chosen who had sporadic colorectal adenomata through pathologic inspection and were hospitalized in order to excis e adenomata with electrotomy.Results All fifty-four adenomata were excised with electrotomy.The adenomata distribu ted mainly over left-side colon(47/54).B leeding occurred in five patients during the operation(5/26).None had delayed ble eding and perforation after endoscopic t herapy.Through pathologic inspection,one adenoma was malignant in all retrievabl e adenomata(1/26).Two patients had palin dromic adenomata after one year(2/26). Conclusion Sporadic colorectal adeno ma treated by electrotomy therapy is eff ective with few complications.It should be considered a first choice therapy for sporadic colorectal adenoma.

关 键 词：散发性结直肠腺瘤 电切除术 临床评价 病理检查 结肠镜检查 迟发性出血 其安全性 左半结肠 术中出血 治疗 患者 内镜下 术切除 再发生 并发症 术后 

分 类 号：R735.3[医药卫生—肿瘤] R697.320.5[医药卫生—临床医学]