结肠镜治疗小儿大肠息肉70例临床分析  

An Analysis of 70 Cases of Juvenile Colonic Polyps Treated Under Colonoscopy

作　　者：林汉利[1] 谢红忠[1] 李俊达[1] 

机构地区：[1]广东医学院附属福田人民医院,广东深圳515033

出　　处：《中国初级卫生保健》2009年第7期122-123,共2页Chinese Primary Health Care

摘　　要：目的探讨小儿大肠息肉的内镜治疗方法。方法回顾2000年7月至2008年12月接受肠镜检查的小儿大肠息肉患者74例资料,对其中70例的临床症状、内镜特点、病理类型与内镜下治疗方法进行分析。结果小儿大肠息肉90.8%发生在直肠和乙状结肠,77.8%为带蒂息肉、74.29%为幼年性息肉、11.4%为P-J息肉、7.14%为炎性息肉、4.29%为增生性息肉、2.86%为腺瘤性息肉。55例患儿(78.6%)68枚息肉全部切除,其中高频电切49例、高频电凝1例、钳除5例,均无并发症,随访2年5.3%复发。结论对小儿便血,肛门指检不可忽视,有条件的应尽早行肠镜检查,结肠镜腔内治疗小儿大肠息肉简便易行和安全可靠,切除后应坚持随访。OBJECTIVE To investigate the treatment of juvenile colonic polyps under endoscopy. METHODS The records of colonoscopy of 74 children between July 2000 and December 2008 were reviewed retrospectively and 70 cases of eolone polyps were recruited to this study for analysis of their manifestations, endoscopic features, pathological classification and procedures of endoscopy. RESULTS 90.2 percent of juvenile colonic polyps were identified within rectum and sigmoid and 77.8 percent of them represented pedicled polyps. In all children there were juvenile polyps（74.29% ）, P-J polyps （11.4%）, inflammatory polyps （7.14%）and adenoid polyps（2.86%） respectively. All of 68 polyps in 55 cases were removed by radiofrequency resection （49 cases）, radiofrequeney coagulator （1 ease） and clamping off （5 cases） without complications. Being followed up for 2 years, there were only 5.3 percent of recurrence. CONCLUSIONS The digital exam and early endoscopy can not be ignored in children with blood stool. The remove of juvenile colonic polyps under eolonoscopy was a simple and safety remedy and postoperative follow up was recommended.

关 键 词：小儿大肠息肉 内镜治疗 随访 

分 类 号：R726[医药卫生—儿科]