中华消化外科杂志
中華消化外科雜誌
중화소화외과잡지
CHINESE JOURNAL OF DIGESTIVE SURGERY
2012年
3期
220-222
,共3页
刘靖正%周平红%姚礼庆%徐美东%马丽黎%泰文政%胡健卫%蔡明琰
劉靖正%週平紅%姚禮慶%徐美東%馬麗黎%泰文政%鬍健衛%蔡明琰
류정정%주평홍%요례경%서미동%마려려%태문정%호건위%채명염
结直肠息肉%尼龙绳%内镜高频电凝切除术
結直腸息肉%尼龍繩%內鏡高頻電凝切除術
결직장식육%니룡승%내경고빈전응절제술
Colorectal polyps%Nylon thread%Endoscopic high-frequency electric snare
目的 探讨内镜下应用尼龙绳套扎联合高频电凝切除治疗结直肠息肉的临床疗效与安全性.方法 回顾性分析2006年1月至2011年1月复旦大学附属中山医院内镜下应用尼龙绳套扎联合高频电凝切除治疗345例结直肠息肉患者的临床资料.观察患者术后有无出血、穿孔等并发症发生;肠镜随访观察患者术后创面愈合及病变残留、复发情况.结果 345例患者共成功切除362枚结直肠息肉.息肉直径1.5 ~4.0 cm,平均直径2.7 cm;1例患者术中出血;1例患者发生迟发性穿孔.93.6%(339/362)的息肉经病理检查证实为腺瘤性息肉,17枚为增生性息肉,5枚为炎症性息肉,1枚息肉出现癌变.334例患者术后1个月复查肠镜,9例患者残蒂存留,再次予内镜下切除,其余患者术后创面愈合良好,残蒂脱落消失.308例患者术后2个月获得肠镜检查随访,病灶均完全消失.患者首次治疗有效率为97.1%( 299/308).结论 内镜下应用尼龙绳套扎联合高频电凝切除结直肠息肉安全、有效.
目的 探討內鏡下應用尼龍繩套扎聯閤高頻電凝切除治療結直腸息肉的臨床療效與安全性.方法 迴顧性分析2006年1月至2011年1月複旦大學附屬中山醫院內鏡下應用尼龍繩套扎聯閤高頻電凝切除治療345例結直腸息肉患者的臨床資料.觀察患者術後有無齣血、穿孔等併髮癥髮生;腸鏡隨訪觀察患者術後創麵愈閤及病變殘留、複髮情況.結果 345例患者共成功切除362枚結直腸息肉.息肉直徑1.5 ~4.0 cm,平均直徑2.7 cm;1例患者術中齣血;1例患者髮生遲髮性穿孔.93.6%(339/362)的息肉經病理檢查證實為腺瘤性息肉,17枚為增生性息肉,5枚為炎癥性息肉,1枚息肉齣現癌變.334例患者術後1箇月複查腸鏡,9例患者殘蒂存留,再次予內鏡下切除,其餘患者術後創麵愈閤良好,殘蒂脫落消失.308例患者術後2箇月穫得腸鏡檢查隨訪,病竈均完全消失.患者首次治療有效率為97.1%( 299/308).結論 內鏡下應用尼龍繩套扎聯閤高頻電凝切除結直腸息肉安全、有效.
목적 탐토내경하응용니룡승투찰연합고빈전응절제치료결직장식육적림상료효여안전성.방법 회고성분석2006년1월지2011년1월복단대학부속중산의원내경하응용니룡승투찰연합고빈전응절제치료345례결직장식육환자적림상자료.관찰환자술후유무출혈、천공등병발증발생;장경수방관찰환자술후창면유합급병변잔류、복발정황.결과 345례환자공성공절제362매결직장식육.식육직경1.5 ~4.0 cm,평균직경2.7 cm;1례환자술중출혈;1례환자발생지발성천공.93.6%(339/362)적식육경병리검사증실위선류성식육,17매위증생성식육,5매위염증성식육,1매식육출현암변.334례환자술후1개월복사장경,9례환자잔체존류,재차여내경하절제,기여환자술후창면유합량호,잔체탈락소실.308례환자술후2개월획득장경검사수방,병조균완전소실.환자수차치료유효솔위97.1%( 299/308).결론 내경하응용니룡승투찰연합고빈전응절제결직장식육안전、유효.
Objective To evaluate the clinical efficacy and safety of nylon ligation combined with endoscopic high-frequency electric snare for the treatment of colorectal polyps.Methods The clinical data of 345 patients with colorectal polyps who received the treatment of nylon ligation combined with endoscopic high-frequency electric snare at the Zhongshan Hospital of Fudan University from January 2006 to January 2011 were retrospectively analyzed.Complications including bleeding and perforation were observed.Postoperative wound healing and local residual recurrence were assessed during follow-up.Results A total of 362 colorectal polyps were successfully removed.The mean diameter of the colorectal polyps was 2.7 cm (range,1.5-4.0 cm). Operative bleeding occurred in 1 patient,and perforation in 1 patient.The results of histological examination showed that 93.6%(339/362) colorectal polyps were adenoma,17 were hyperplastic polyps,5 were inflammatory polyps,and caneeration of colorectal polyps in 1 patient was detected.Endoscopic follow-up was completed in 334 patients at the first month after operation,and 9 patients with residual benign colorectal polyps received endoscopic resection.No residue or recurrence was found in the other patients.Endoscopic follow-up was completed in 308 patients at the second months after operation,and no residue or recurrence was found.The overall effective rate was 97.1% (299/308).Conclusion Endoscopic nylon ligation combined with endoscopic high-frequency electric snare is effective and safe for the treatment of colorectal polyps.