结肠镜下切除大肠幼年性息肉70例回顾分析  

A retrospective analysis of 70 cases of juvenile polyps of large intestine under colon endoscopic resection

作　　者：杜正光[1] 赖宇飞[1] 陈晓[1] 杨鹏宇[1] 张声生[1] 

机构地区：[1]首都医科大学附属北京中医医院脾胃病科,北京100010

出　　处：《中国中西医结合消化杂志》2016年第11期874-876,共3页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

摘　　要：[目的]分析大肠幼年性息肉的结肠镜下特点、结肠镜下治疗的疗效及安全性。[方法]回顾我院2010年1月1日~2014年1月1日行结肠镜检查病理诊断为大肠幼年性息肉70例,对其结肠镜下病变特点、结肠镜下操作方法、围手术期处理、术后疗效及并发症进行回顾性分析。[结果]2010年1月1日~2014年1月1日我院结肠镜检查7512例,发现大肠息肉的806例,病理活检诊断大肠幼年性息肉并坚持随访2年的病例70例。本研究发现,70例患者的大肠幼年性息肉以单发息肉为主[66（94.29%）],其分布以直肠、乙状结肠为主[52（74.29%）]。70例患者均经过完备的术前检查和肠道准备,由医护给予专业术后指导。全部大肠幼年性息肉患者均采用内镜下注射无菌生理盐水抬举后圈套切除。术后无严重并发症发生,随访2年无复发。[结论]大肠幼年性息肉病变以单发为主,主要分布在直肠、乙状结肠;通过完备的术前检查、充分的肠道准备、恰当的术后医嘱,在电子结肠镜下使用注射后圈套法切除大肠幼年性息肉是安全的、治疗是彻底的。[Objective]To investigate the characteristics,therapeutic effect and safety of juvenile polyps of the large intestine with colonoscopy.[Methods]We reviewed the 70 cases who were diagnosed of juvenile polyps underwent colonoscopy from January 1st 2010 to January 1st 2014 in our hospital and analyzed the characteristics,operational approach,perioperative management,therapeutic effect and complications.[Results]From January 1st 2010 to January 1st 2014,7512 cases of colonoscopies were operated in our hospital,and 806 cases of colonic polyp were detected,among which 70 cases had the biopsy diagnosis of juvenile polyps and were followed up for 2years.In this research,juvenile polyp was mainly single[66（94.29%）]and mainly located in the rectum and sigmoid colon in the 70 cases.All the 70 patients had all undergone a perfect preoperative examination and bowel preparation.Doctors and nurses offered medical professional postoperative guidance.Endoscopic injection of sterile saline was performed to lift the polyps and snare polypectomies were operated in the 70 patients.No severe postoperative complications happened and 2-year follow-up showed no recurrence.[Conclusion]Juvenile polyp was mainly single and mainly located in the rectum and sigmoid colon.Endoscopic snare polypectomies after injection is safe and complete in juvenile polyps by means of perfect preoperative examination,fully bowel preparation and good instructions after operations.

关 键 词：幼年性息肉 结肠镜 结肠镜下切除 

分 类 号：R730.269[医药卫生—肿瘤]