小儿结肠息肉内镜诊断的临床表现、病理结果及不同方式的治疗效果  

Clinically Endoscopic Diagnostic Findings,and Pathological Examination Results of Infantile Polyposis Coli as well as Effect of Different Therapies for it

作　　者：张琳琳 ZHANG Lin-lin(Pediatry Dept.,the 1st A ffiliated Hospital of Henan Sci-tech University,Luoyang,Henan 471000)

机构地区：[1]河南科技大学第一附属医院儿科/新生儿室,河南洛阳471000

出　　处：《中国肛肠病杂志》2020年第10期24-26,共3页Chinese Journal of Coloproctology

摘　　要：为探究小儿结肠息肉内镜诊断的临床表现、病理结果及不同方式的治疗效果,将结肠息肉患儿65例按照治疗方式的不同分为A组22例、B组23例和C组20例,所有患儿均接受术前常规检查,A组行活检钳除法治疗,B组行高频电切术治疗,C组行内镜下黏膜切除术(EMR)+金属夹治疗,观察患儿的内镜诊断临床表现、病理结果及不同方式的治疗效果。结果显示,65例结肠息肉患儿中,单发息肉42例(64.62%),多发息肉23例(35.38%)。直径在0.5~1.5cm息肉居多,占55.38%。NICE分型:Ⅰ型35例(53.85%)、Ⅱ型26(40.00%),Ⅲ型4例(6.15%)。息肉好发于直肠和乙状结肠,幼年性息肉最常见。C组残存率及复发率均低于A、B 2组(P<0.05)。结果表明,小儿结肠息肉好发于直肠、乙状结肠、息肉直径在0.5~1.5cm多见,大多数为单发息肉,且以NICE分型Ⅰ型、Ⅱ型为主,幼年性息肉是小儿最常见的息肉类型,同时小儿肠息肉也有较小的癌变几率,EMR+金属夹治疗能有效切除息肉,减少术后并发症,增强治疗效果。This study was to investigate the clinically endoscopic diagnostic findings,and pathological examination results of infantile polyposis coli(IPC),as well as effect of different therapies for it,divided 65 IPC child-patients into group A,B,C:before surgery the three groups all received routine inspection;then group A received biopsy forciresection;group B,high-frequency electrosection;group C,EMR plus metal clamp therapy;afterwards,observed the three groups’clinically endoscopic diagnostic findings,and pathological exam.results,as well as different curative effects.As results,in the 65 cases,42 were in mono-polyposis(64.62%),23 in multi-ones(35.38%);the polyposis(diameter in 0.5-1.5 cm)were up to 55.38%;as for NICE typing,typeⅠwas in 35 cases(53.85%),typeⅡin 26(40.00%),typeⅢ,in 4(6.15%);polyposis were mostly at rectum and sigmoid,juvenile polyposis were mostly common;the residual rate and recurrence rate of group C were lower than that of group A and B(P<0.05).Results show that rectum and sigmoid are susceptible to IPC predominated by juvenile type,mostly being mono-ones,their main typies are NICE typeⅠ,andⅡ;the polyposis with diametar of 0.5-1.5 cm are common;IPC has less carcinomatous possibility;EMR+metal clamp therapy can effectively resect them,reduce postoperative complication,and enhance effect.

关 键 词：结肠息肉 小儿 内镜 临床表现 病理结果 疗效 

分 类 号：R726.5[医药卫生—儿科]