成人结肠镜治疗儿童结肠息肉的临床分析  

Clinical analysis of juvenile colonic polyps treated with adult colonoscopy.

作　　者：戴恒兵[1] 宁忠良[1] 王忠荣[1] 朱志强[1] 

机构地区：[1]安徽省立医院普外科,安徽省合肥市230001

出　　处：《临床小儿外科杂志》2011年第6期434-435,共2页Journal of Clinical Pediatric Surgery

摘　　要：目的探讨成人结肠镜治疗小儿大肠息肉的方法。方法回顾2001年1月至2006年1月接受肠镜检查的145例大肠息肉患儿临床资料，对其中130例患儿的临床症状、内镜检查特点、病理类型进行总结，并与成人结肠镜下治疗方法进行分析。结果93．3％的患儿大肠息肉发生在直肠和乙状结肠。80．5％为幼年性息肉，7．4％为炎性息肉，6．7％为增生性息肉，3．4％为腺瘤性息肉，2．0％为P—J息肉。共完整切除149枚息肉，其中高频电切112例，高频电凝4例，钳除14例，无一例发生并发症，随访5年，复发率为3．2％。结论成人结肠镜治疗小儿大肠息肉简便易行，安全可靠，是一种值得推广的有效方法。Objective To investigate the treatment of juvenile colonic polyps under adult colonoscopy. Methods The records of colonoscopy of 145 children between January 2001 and January 2006 were reviewed retrospectively and 130 cases of colonic polyps were recruited to this study for analysis of their manifestations, endoscopic features, pathological classification and procedures of endoscopy. Results 93.3 percent of juvenile colonic polyps were identified within rectum and sigmoid. In all children there were juvenile polyps （ 80. 5 % ）, inflammatory polyps （7.4%）, adenoid polyps （3.4%） and P-J polyps （2.0%） respectively. All of 149 polyps in 130 cases were removed by radiofrequency resection （112 cases）, radiofrequency coagulator （4 cases） and clamping off （14 cases） without complications. Being followed up for 5 years, there were only 3.2 percent of recurrence. Condusions The remove of juvenile colonic polyps under colonoscopy was a simple and safety remedy, which was recommended.

关 键 词：结肠镜 结肠息肉 治疗 儿童 

分 类 号：R735.35[医药卫生—肿瘤]