CAJ | 학술논문

目的：探讨内镜下黏膜切除术（EMR）在大肠平坦型病变中的治疗价值。方法：对30例有大肠平坦型病变患者共36处病灶进行染色放大后行EMR治疗，评价其治疗效果和并发症。结果：36处病灶最大直径0．8～2．5cm（平均1．4±0．5cm），32处一次性完整切除，4处分块切除；3例出现术中出血，经氩气凝固术（APC）及电凝治疗后止血，1例出现术后迟发性出血，经金属夹治疗后止血。30例患者术后1月复查肠镜，创面愈合，术后随访6～12月（平均9．3月），未见病变复发及残留。结论：EMR能有效治疗大肠平坦型病变，方法简便易行，创伤小，安全有效，值得临床推广。
목적：탐토내경하점막절제술（EMR）재대장평탄형병변중적치료개치。방법：대30례유대장평탄형병변환자공36처병조진행염색방대후행EMR치료，평개기치료효과화병발증。결과：36처병조최대직경0．8～2．5cm（평균1．4±0．5cm），32처일차성완정절제，4처분괴절제；3례출현술중출혈，경아기응고술（APC）급전응치료후지혈，1례출현술후지발성출혈，경금속협치료후지혈。30례환자술후1월복사장경，창면유합，술후수방6～12월（평균9．3월），미견병변복발급잔류。결론：EMR능유효치료대장평탄형병변，방법간편역행，창상소，안전유효，치득림상추엄。
Objective： To study the value of endoscopic mucosal resection （EMR） for flat-type colorectal polyps. Methods： Thirty-six lesions in 30 patients with flat-type colorectal polyps were resected by EMR after magnifying endoscope and mucosa staining, and the therapeutic effects and adverse reactions were evaluated. Results： The maximum diameter of 36 lesions was 0. 8-2. 5 cm （mean 1.4 ± 0. 5 cm） ,32 lesions of which were onetime complete resection and four lesions were piece EMR. Bleeding occurred in 3 cases, and the Argon Plasma Coagulation （APC） and electrocoagulation were taken to stop bleeding, 1 case of delayed postoperative bleeding,metal clips was used to stop bleeding after treatment. The colonoscopy after a month in 30 patients showed wound healing, no recurrence and residual lesions were found in these patients followed up for 6- 12 months （average 9. 3 months）. Conclusions： Colorectal flat-type polyps can be effectively treated by EMR, and the method is simple, less traumatic, but safe and worthy to be popularized.