结肠镜下诊断和治疗小儿大肠息肉分析  

Role of Colonoscopy in the Diagnosis and Treatment of Pediatric Polpy

作　　者：王志永[1] 

机构地区：[1]赤峰市医院内镜室,内蒙古赤峰024000

出　　处：《内蒙古医学杂志》2015年第8期917-918,共2页Inner Mongolia Medical Journal

摘　　要：目的探讨小儿大肠息肉的内镜及病理特点并评估结肠镜下切除息肉的可行性。方法选择28例经结肠镜下诊断和治疗的小儿大肠息肉患者。结果 28例小儿大肠息肉中单发的22例（78.6%）,多发的6例（21.4%）;28例患儿共发现息肉38枚,有蒂息肉24枚（63.2%）,位于直肠乙状结肠的30枚（79.0%）,息肉大小分为,〈1 cm的息肉17枚（44.7%）,1-2 cm共15枚（39.5%）,病理结果上显示,幼年性息肉34枚（89.5%）,所有息肉均行内镜下完全切除,有2枚患儿术中出血,均内镜下止血。结论小儿息肉主要见于直肠和乙状结肠,幼年性息肉多见,但直肠与乙状结肠以外仍可见息肉,所以应尽量行全结肠镜检查并切除息肉,结肠镜下切除小儿息肉是安全有效的。Objective This study aimed to evaluate the endoscopic and pathological features of pediatric polyp and the usefulness of colonoscopic polypectomy.Methods We retrospectively reviewed the medical records of 28 children who were diagnosed with having polyps.Results Twenty patients（78.6%）had a solitary polyp and 6 patients（21.4%）had multiple polyps.The sites of the polyps were rectum（44.7%）,sigmoid colon（39.5%）.Juvenile polyp is the most common pathological pattern（89.5%）.All polyps is complete excision.In the polypectomy,hematochezia occurred in 2 patients.Endoscopic hemostasis was performed successful.Conclusion Pediatric polyp occurred in a wide range locations and had variable sizes,suggesting that the entire colonoscopy examination is necessary.Colonoscopic polypectomy is a simple and useful therapeutic method in children with polyp.

关 键 词：小儿大肠息肉 结肠镜 息肉切除术 

分 类 号：R656[医药卫生—外科学]