老年人大肠息肉的内镜治疗及五年以上随访  

TREATMENT OF LARGE BOWEL POLYPS IN ELDERLY PEOPLE WITH OVER FIVE YEARS’FOLLOWO-UP

作　　者：朱成[1] 张建萍[1] 张子其[1] 赵东海[1] 

机构地区：[1]中国人民解放军总医院

出　　处：《中华消化杂志》1995年第4期198-199,共2页Chinese Journal of Digestion

摘　　要：本文报道２１９例老年人大肠息肉的内镜治疗及５～８年随访结果。其中多发性息肉１１８例，单发性１０１例。内镜摘除后的息肉复发及再发率分别为５．５％和４１．９％；平均复发及再发时间为１９．４个月及１９．１个月；７３．５％及７５．５％的病例于２年内复发及再发。随访检出３例息肉癌变，平均间隔时间为２５．７个月。认为对多发性大肠腺瘤患者应于内镜治疗后半年进行随访，连续２次无病变者可适当延长随访时间但不宜超过２年。Large bowel polyps in 219 senile patients who had undergone endoscopic was reviewedand followed up for 5 to 8 years,including inultiple polyps in ll8 patiente and single polyps in10l patients。 Polyps were removed with biopsy forceps,electrocautery, or wire loop。Recurrence rate of polyps Was 5.5%. The average interval of recarrence was l9.4 months.New polyp formation rate was 41.9%. The average interval of new polyp forniation was l9.1months. 73%of patients had recurrence and 75%of patients developed new polyps in the firsttwo years. Seven cancerous foci were found in 6 patiente on initial examination, incllidingfour early cancerous foci.Cancerous change of polyps was detected in 3 patiente throughfollow-up examination; the average interval was 25.7 months. It was suggested that follow-upexamination firs t should be done every months for patient with multiple adenomas. If nolesion was found in two consective examinations, the interval might be prolonged but notlonger than two years.

关 键 词：结肠息肉 老年人 治疗 内镜 大肠息肉 

分 类 号：R574.605[医药卫生—消化系统] R735.350.4[医药卫生—内科学]