结直肠息肉的规范化诊疗  

Standardized diagnosis and treatment of colorectal polyps

作　　者：王人杰 张晓兰 蔡继东 王铭河[1] 刘建强 徐烨[1] Wang Renjie;Zhang Xiaolan;Cai Jidong;Wang Minghe;Liu Jianqiang;Xu Ye(Departmant of Colorectal Surgery,Fudan University Shanghai Cancer Center,Departmant of Oncology,Fudan University Shanghai Medical College,Shanghai 200032,China;Departmant of Endoscopy,Fudan University Shanghai Cancer Center,Departmant of Oncology,Fudan University Shanghai Medical College,Shanghai 200032,China)

机构地区：[1]复旦大学附属肿瘤医院大肠外1科、复旦大学上海医学院肿瘤学系,上海200032 [2]复旦大学附属肿瘤医院内镜科、复旦大学上海医学院肿瘤学系,上海200032

出　　处：《中华胃肠外科杂志》2024年第6期583-590,共8页Chinese Journal of Gastrointestinal Surgery

摘　　要：结直肠息肉的规范化处理,包括分型、治疗、随访和预防控制等多个方面。针对不同类型的息肉需采用相应的治疗方案,包括内镜下切除和外科手术。目前对于pT1期的“恶性息肉”是选择内镜下切除还是外科手术还有所争议。本文结合最新文献及指南就息肉的分型及治疗方式、随访及预防控制分别进行阐述。规范化处理结直肠息肉对于降低结直肠癌的发病率、提高早期结直肠癌的治愈率,具有重大意义。This article explores the standardized management of colorectal polyps,including classification,treatment,follow-up,and preventive control.Corresponding treatment strategies,including endoscopic resection and surgical intervention,are employed for different types of polyps.Currently,there is debate over whether to choose endoscopic resection or surgical intervention for malignant polyps at pT1 stage.Drawing on the latest literature and guidelines,the article elaborates on polyp classification,treatment modalities,follow-up,and preventive measures.Standardized management of colorectal polyps is important for reducing the incidence of colorectal cancer and improving the cure rate of early-stage colorectal cancer.

关 键 词：结直肠息肉 分型 治疗 随访 

分 类 号：R574[医药卫生—消化系统]