老年人下消化道息肉内镜下治疗分析  

The analysis about treatment under colonoscopy of colorectal polyps in aged people

作　　者：陈璐[1] 李静[1] 唐和兰[1] 韩全利[1] 陈英[1] 杨春敏[1] 

机构地区：[1]安徽医科大学中国人民解放军空军总医院东楼消化内科,北京100142

出　　处：《胃肠病学和肝病学杂志》2013年第5期446-448,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的分析老年人大肠息肉的内镜及病理特点,探讨肠镜检查中减少并发症的最佳方法。方法对我院2010年1月-2012年9月行结肠镜检查的81例老年患者的资料进行回顾性研究。结果 81例大肠息肉患者男69例,女12例。腺瘤性息肉占76%,直径<1.0 cm内息肉占80%,息肉分布乙状结肠最多占35%。所有大肠息肉内镜下治疗后未出现出血、穿孔等并发症。结论老年人所有大肠息肉应尽量内镜下切除。内镜检查前对患者进行术前评估可减少并发症。Objective To investigate the endoscopy and pathological characteristics of colorectal polyp in aged pa- tients and to explore effective ways that decrease complications. Methods The clinical data of 81 aged patients re- ceived colonoscopy in our hospital were retrospectively analyzed from Jan. 2010 to Sep. 2012. Results There were 69 male aged patients and 12 female aged patients. Adenomatous polyps accounted for 76% , polyps with diameter 〈 1.0 cm accounted for 80%. There were 35% colorectal polyps located at sigmoid. During the process of therapeutic endo- scope, there were no complications such as bleeding or perforation. Conclusion All colorectal polyps of aged patients should be resected under endoscopy. Preoperative evaluation can decrease complication.

关 键 词：老年人 大肠息肉 结肠镜 

分 类 号：R574.6[医药卫生—消化系统]