结直肠脂肪瘤内镜下诊断及治疗30例  

Diagnosis and treatment of 30 colorectal lipomas with endoscope

作　　者：韩建勇[1] 赵继先[1] 康金旺[1] 王颖[1] 

机构地区：[1]河北北方学院附属第二医院消化内科,075100

出　　处：《中国现代药物应用》2012年第7期10-11,共2页Chinese Journal of Modern Drug Application

摘　　要：目的分析结直肠脂肪瘤的主要内镜下表现和治疗方法,提高其诊断及治疗的准确性。方法结合文献,对我院1986年4月至2011年10月经内镜及病理诊断的30例脂肪瘤进行分析。结果结直肠脂肪瘤女性多于男性(4:3);平均年龄(62.9±8.3)岁;以升结肠及横结肠多见,占73.3%;内镜下均表现为黄色或淡黄色黏膜下肿物,质软,按压变形,触之不滑动。超声内镜(EUS)表现为边界清晰的高回声病变。6例<1.5cm者内镜下黏膜切除术(EMR)完全切除。结论结肠镜、EUS是结直肠脂肪瘤的重要诊断手段,EUS检查可明确脂肪瘤累及肠壁部位,EMR是结直肠小脂肪瘤的有效治疗方法。>2.0cm者需手术治疗。Objective To analyze the primary endoscopic features and treatment methods of colorectal lipomas and to improve the accuracy of the diagnosis and treatment.Methods To analysis 30 cases of lipoma from April 1986 to October 2011 diagnosed by endoscopic and pathological in our hospital with the combination of literature.Results Colorectal lipomas occur more in women than men（4：3）,the average age were（62.9±8.3）years.The ascending colon and transverse colon were more common,accounting for 73.3%,appeared in endoscopic as yellow or yellowish submucosal tumor,soft,press deformation,do not slide touched.Endoscopic ultrasonography（EUS） showed hyperechoic lesions with clear boundaries.6 cases of less than 1.5 cm were completely removed through endoscopic mucosal resection（EMR）.Conclusion Colonoscopy and EUS are important means to diagnosis of colorectal lipoma,EUS examination can confirm the lipoma involving in the intestinal wall parts,EMR is an effective treatment for the small colorectal lipoma.Lipoma with greater than 2.0 cm are required surgery.

关 键 词：脂肪瘤 结肠镜 EMR EUS 

分 类 号：R735.3[医药卫生—肿瘤]