内镜介导下高频电切除大肠息肉92例分析  

Analysis of 92 Cases of Colonic Polypi Treated by Endoscopy-mediated High Frequency Electric Excision

作　　者：罗文雄[1] 郑永平[1] 吴智勇[1] 

机构地区：[1]广东省汕头市中心医院,广东汕头515031

出　　处：《河北医学》2006年第8期735-737,共3页Hebei Medicine

摘　　要：目的:了解大肠息肉的临床特征及内镜下治疗可行性。方法:对内镜介导下高频电切除大肠息肉92例进行回顾性分析。结果:92例病人共119个息肉成功行内镜下高频电切除,其中4例出现迟发性出血,1例并发周边灼伤,1例原位复发。92例病人中有2人2个息肉术后病理示部分恶变。结论:大肠息肉尤其是腺瘤是大肠癌前病变,具有一定的恶变机会,必须给予积极治疗,内镜下高频电切除以其安全、简便、经济、效佳以及能取得病理组织成为治疗大肠息肉的首选方法。Objective： To find out the clinical manifestation of colonic polyp and the feasibility of treatment by endoscopy. Method： 92 cases of colonic polypi treated by endoscopy - mediated high frequency electric excision were analyzed retrospectively. Result： 119 polypi in 92 patients had been treated successfully by high frequency electric excision. There were 4 cases of delayed hemorrhage, 1 case of burning around the lesion and 1 case of recurrence in situ. Partial cancemtion were certified pathologically in 2 cases （ 2 lesion）. Conclusion： Colonic polyp, especially colonic adenoma is a kind of precancerosis. Therefore, it should be treated vigorously. Endoscopy - mediated high frequency electric excision were considered to be the first choice for treatment for colonic polyp, due to its safety, simple procedure, low cost, high efficacy and possibility to obtain the pathological tissue.

关 键 词：大肠息肉 电子内镜 高频电凝电切 

分 类 号：R735.34[医药卫生—肿瘤]