内镜下黏膜切除术治疗大肠平坦型病变30例  

Endoscopic Mucosal Resection for Treatment of 30 Cases With Flat-type Colorectal Polyps

作　　者：吴玉芳[1] 彭随风[1] 李轶西[1] 胡伟[1] 梅智谋[1] 刘浩[1] 高晓阳[1] 时昭红[1] 

机构地区：[1]武汉市第一医院,武汉430022

出　　处：《内科急危重症杂志》2010年第4期196-198,共3页Journal of Critical Care In Internal Medicine

摘　　要：目的:探讨内镜下黏膜切除术(EMR)在大肠平坦型病变中的治疗价值。方法:对30例有大肠平坦型病变患者共36处病灶进行染色放大后行EMR治疗,评价其治疗效果和并发症。结果:36处病灶最大直径0.8～2.5cm(平均1.4±0.5cm),32处一次性完整切除,4处分块切除;3例出现术中出血,经氩气凝固术(APC)及电凝治疗后止血,1例出现术后迟发性出血,经金属夹治疗后止血。30例患者术后1月复查肠镜,创面愈合,术后随访6～12月(平均9.3月),未见病变复发及残留。结论:EMR能有效治疗大肠平坦型病变,方法简便易行,创伤小,安全有效,值得临床推广。Objective： To study the value of endoscopic mucosal resection （EMR） for flat-type colorectal polyps. Methods： Thirty-six lesions in 30 patients with flat-type colorectal polyps were resected by EMR after magnifying endoscope and mucosa staining, and the therapeutic effects and adverse reactions were evaluated. Results： The maximum diameter of 36 lesions was 0. 8-2. 5 cm （mean 1.4 ± 0. 5 cm） ,32 lesions of which were onetime complete resection and four lesions were piece EMR. Bleeding occurred in 3 cases, and the Argon Plasma Coagulation （APC） and electrocoagulation were taken to stop bleeding, 1 case of delayed postoperative bleeding,metal clips was used to stop bleeding after treatment. The colonoscopy after a month in 30 patients showed wound healing, no recurrence and residual lesions were found in these patients followed up for 6- 12 months （average 9. 3 months）. Conclusions： Colorectal flat-type polyps can be effectively treated by EMR, and the method is simple, less traumatic, but safe and worthy to be popularized.

关 键 词：黏膜切除术 大肠平坦型病变 染色放大 

分 类 号：R574.6[医药卫生—消化系统]