中国初级卫生保健
中國初級衛生保健
중국초급위생보건
CHINESE PRIMARY HEALTH CARE
2009年
7期
122-123
,共2页
小儿大肠息肉%内镜治疗%随访
小兒大腸息肉%內鏡治療%隨訪
소인대장식육%내경치료%수방
juvenile colonic polyps%endoscopy diagnosis%treatment
目的 探讨小儿大肠息内的内镜治疗方法.方法 回顾2000年7月至2008年12月接受肠镜检查的小儿大肠息内患者74例资料,对其中70例的临床症状、内镜特点、病理类型与内镜下治疗方法进行分析.结果 小儿大肠息内90.8%发生在直肠和乙状结肠.77.8%为带蒂息肉、74.29%为幼年性息肉、11.4%为P-J息肉、7.14%为炎性息肉、4.29%为增生性息肉、2.86%为腺瘤性息肉.55倒患儿(78.6%)68枚息肉全部切除,其中高频电切49倒、高频电凝1例、钳除5例,均无并发症,随访2年5.3%复发.结论 对小儿便血,肛门指检不可忽视,有条件的应尽早行肠镜检查,结肠镜腔内治疗小儿大肠息肉简便易行和安全可靠,切除后应坚持随访.
目的 探討小兒大腸息內的內鏡治療方法.方法 迴顧2000年7月至2008年12月接受腸鏡檢查的小兒大腸息內患者74例資料,對其中70例的臨床癥狀、內鏡特點、病理類型與內鏡下治療方法進行分析.結果 小兒大腸息內90.8%髮生在直腸和乙狀結腸.77.8%為帶蒂息肉、74.29%為幼年性息肉、11.4%為P-J息肉、7.14%為炎性息肉、4.29%為增生性息肉、2.86%為腺瘤性息肉.55倒患兒(78.6%)68枚息肉全部切除,其中高頻電切49倒、高頻電凝1例、鉗除5例,均無併髮癥,隨訪2年5.3%複髮.結論 對小兒便血,肛門指檢不可忽視,有條件的應儘早行腸鏡檢查,結腸鏡腔內治療小兒大腸息肉簡便易行和安全可靠,切除後應堅持隨訪.
목적 탐토소인대장식내적내경치료방법.방법 회고2000년7월지2008년12월접수장경검사적소인대장식내환자74례자료,대기중70례적림상증상、내경특점、병리류형여내경하치료방법진행분석.결과 소인대장식내90.8%발생재직장화을상결장.77.8%위대체식육、74.29%위유년성식육、11.4%위P-J식육、7.14%위염성식육、4.29%위증생성식육、2.86%위선류성식육.55도환인(78.6%)68매식육전부절제,기중고빈전절49도、고빈전응1례、겸제5례,균무병발증,수방2년5.3%복발.결론 대소인편혈,항문지검불가홀시,유조건적응진조행장경검사,결장경강내치료소인대장식육간편역행화안전가고,절제후응견지수방.
OBJECTIVE To investigate the treatment of juvenile colonic polyps under endoscopy. METHODS The records of colonoscopy of 74 children between July 2000 and December 2008 were reviewed retrospectively and 70 cases of colonc polyps were recruited to this study for analysis of their manifestations, endoscopic features, pathological classification and procedures of endoscopy. RESULTS 90.2 percent of juvenile colonic polyps were identified within rectum and sigmoid and 77.8 percent of them represented pedicled polyps. In all children there were juvenile polyps(74.29%), P-J polyps (11.4%), inflammatory polyps (7.14%)and adenoid polyps(2.86%) respectively. All of 68 polyps in 55 eases were removed by radiofrequency resection (49 cases), radiofrequency coagulator (1 case) and clamping off (5 cases) without complications. Being followed up for 2 years, there were only 5.3 percent of recurrence. CONCLUSIONS The digital exam and early endoscopy can not be ignored in children with blood stool. The remove of juvenile colonic polyps under eolonoscopy was a simple and safety remedy and postoperative follow up was recommended.
