内镜黏膜切除术治疗结直肠息肉2609例  

Endoscopic mucosal resection in the treatment of 2609 cases with colorectal polyps

作　　者：邓德昌 方晓明[1] 居海红 沈文晓 叶海飞[1] 

机构地区：[1]浙江省海宁市第二人民医院外科,314400

出　　处：《中华胃肠外科杂志》2012年第12期1301-1303,共3页Chinese Journal of Gastrointestinal Surgery

基　　金：基金项目：浙江省嘉兴市科研项目[嘉科计（2005）61号]

摘　　要：目的探讨内镜黏膜切除术（EMR）应用于常规结直肠息肉切除的安全性及有效性。方法总结2007年1月至2010年12月期间浙江省海宁市第二人民医院应用EMR技术治疗2609例结直肠息肉患者的临床资料。结果2609例共计切除结直肠息肉3578枚，除2例不完全切除外均完整切除，标本的完整率99．9％。术中和围手术期并发症发生率为0．8％（22／2609），主要为术中出血7例．术后延时出血5例和热灼伤10例．均经对症处理痊愈。1530例患者获得3～12个月的随访，原切除部位无一例复发。结论EMR应用于常规结直肠息肉切除安全、有效。Objective To explore the safety and effectiveness of endoscopic mucosal resection （EMR） in the treatment of colorectal polyps. Method EMR was applied in the treatment of colorectal polyps. Results A total of 3578 polyps in 2609 patients were all completely resected except 2 cases and the integrated rate of samples was 99.6%. Intra- and post-operation complications occurred in 22 cases （0.8%）, including 7 intraoperative bleeding, 5 postoperative bleeding, and 10 thermal burn, which were cured by symptomatic treatment. A total of 1530 （58.6%） cases were followed-up with 3-12 months and no relapse was found in former place of excision. Conclusion EMR can be applied in resection of colorectal polyps effectively and safely.

关 键 词：结直肠息肉 内镜下黏膜切除 疗效 

分 类 号：R735.3[医药卫生—肿瘤]