内镜下治疗胃肠大息肉的临床应用价值  

Clinical Effect of Endoscopic Resection of Giant Gastrointestinal Polyps

作　　者：孔宪和[1] 陈丽恒[1] 

机构地区：[1]广东省东莞市人民医院消化内科,523000

出　　处：《岭南急诊医学杂志》2010年第3期174-175,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:探讨内镜下高频电切胃肠大息肉的治疗价值及其安全性。方法:回顾性分析2007年8月至2009年12月内镜下电切除胃肠大息肉115例的临床资料。结果:治疗成功率97.4%,病理组织学示管状腺瘤42例,绒毛管状腺瘤35例,绒毛状腺瘤30例,增生性息肉6例,2例术后病理示浸润癌转外科开腹手术。17例术后即刻出血,均内镜下止血成功;5例术后24 h出血,其中3例经内镜下止血成功,1例经输血及内科保守治疗后出血停止,另1例迟发型出血者金属夹治疗后再次出血转外科手术治疗。无穿孔、感染及其他并发症发生。所有病例术后随访均未发现复发。结论:内镜下治疗胃肠大息肉的方法安全、有效、可靠。Objective： To explore the therapeutic value and safety of endoscopic excision of giant gastrointestinal polyps by high-frequency electrocoagulation. Methods： The clinical data of 115 patients with giant gastrointestinal polyps treated by endoscopic excision retrospectively analyzed from Aug 2007 to Dec 2009. Results： The curative success rate was 97.4%. There were 42 cases of tubular adenomas, 35 tubulovillous adenomas,30 villous adenomas,6 hyperplastic polyps, there were 2 cases transferred to surgery because of the finding of pathological invasive cancers. The bleeding was stopped applying endoscopic hemostasis treatment in 17 patients occurring bleeding during endoscopic resection. 5 patients occurred delayed bleeding,three of them were cured by endoscopic hemostasis,and one was cured by blood transfusion and internal medicine, the other case of delayed bleeding, at the metal clips 24 hours after treatment, because once again to surgical bleeding. No perforation, infection and other complications occurred.There was no recurrence during the follow up.Conclusion： Endoscopic therapy is safe,effective and credible for large gastrointestinal polyps.

关 键 词：胃肠大息肉 内镜治疗 

分 类 号：R57[医药卫生—消化系统]