CAJ | 학술논문

目的：探讨内镜下黏膜切除术（ EMR）对大肠广基息肉的治疗价值。方法对我院2012－01～2013－12间内镜下行EMR治疗的50例99个病灶进行回顾性分析。结果本组EMR切除大肠广基息肉50例，共99个病灶，均为完全切除，切除成功率为100％。4例出现局部渗血，经内镜下止血后停止出血，未发现穿孔、感染等并发症。2例直径大于2 cm的结肠腺瘤患者在1个月复查时，在EMR瘢痕边缘见约0.4～0.5 cm的息肉复发，给予氩离子凝固（ APC）治疗，治疗6、12个月后复查无复发。结论内镜下黏膜切除术治疗大肠广基息肉简单、安全、有效。
목적：탐토내경하점막절제술（ EMR）대대장엄기식육적치료개치。방법대아원2012－01～2013－12간내경하행EMR치료적50례99개병조진행회고성분석。결과본조EMR절제대장엄기식육50례，공99개병조，균위완전절제，절제성공솔위100％。4례출현국부삼혈，경내경하지혈후정지출혈，미발현천공、감염등병발증。2례직경대우2 cm적결장선류환자재1개월복사시，재EMR반흔변연견약0.4～0.5 cm적식육복발，급여아리자응고（ APC）치료，치료6、12개월후복사무복발。결론내경하점막절제술치료대장엄기식육간단、안전、유효。
Objective To evaluate the outcome of endoscopic mucosal resection ( EMR) in the treatment for sessile colorectal polyps.Methods A retrospective analysis of 50 patients with sessile colorectal polyps from Jan.2012 to Dec.2013 in the hospital was done.Re-sults All 99 polyps were removed completely.4 cases had postoperative complication ( wounds bleeding ) , which were cured by endoscopic treatment.No perforation or wound infection was found.Two patients whose polyp was larger than 2 cm had recurrence at the resection site after 1 month, then removed completely by Argon plasma coagulation .No more recurrence was detected after 6 and 12 months.Conclusion EMR is the safe and effective treatment for sessile colorectal polyps.