CAJ | 학술논문

目的探讨内镜黏膜切除术(EMR)应用于常规结直肠息肉切除的安全性及有效性.方法总结2007年1月至2010年12月期间浙江省海宁市第二人民医院应用EMR技术治疗2609例结直肠息肉患者的临床资料.结果 2609例共计切除结直肠息肉3578枚,除2例不完全切除外均完整切除,标本的完整率99.9％.术中和围手术期并发症发生率为0.8％(22/2609),主要为术中出血7例,术后延时出血5例和热灼伤10例,均经对症处理痊愈.1530例患者获得3～12个月的随访,原切除部位无一例复发.结论 EMR应用于常规结直肠息肉切除安全、有效.
목적 탐토내경점막절제술(EMR)응용우상규결직장식육절제적안전성급유효성.방법 총결2007년1월지2010년12월기간절강성해저시제이인민의원응용EMR기술치료2609례결직장식육환자적림상자료.결과 2609례공계절제결직장식육3578매,제2례불완전절제외균완정절제,표본적완정솔99.9％.술중화위수술기병발증발생솔위0.8％(22/2609),주요위술중출혈7례,술후연시출혈5례화열작상10례,균경대증처리전유.1530례환자획득3～12개월적수방,원절제부위무일례복발.결론 EMR응용우상규결직장식육절제안전、유효.
Objective To explore the safety and effectiveness of endoscopic mucosal resection (EMR) in the treatment of colorectal polyps.Method EMR was applied in the treatment of colorectal polyps.Results A total of 3578 polyps in 2609 patients were all completely resected except 2 cases and the integrated rate of samples was 99.6％.Intra-and post-operation complications occurred in 22 cases (0.8％),including 7 intraoperative bleeding,5 postoperative bleeding,and 10 thermal burn,which were cured by symptomatic treatment.A total of 1530 (58.6％) cases were followed-up with 3-12months and no relapse was found in former place of excision.Conclusion EMR can be applied in resection of colorectal polyps effectively and safely.