摘要
目的评价内镜下金属夹联合高频圈套电切序贯治疗宽蒂巨大肠息肉的疗效,以提高巨大肠息肉内镜治疗成功率。方法内镜下高频电切结肠息肉116例,对39例头端最大直径>3.0cm,蒂粗>1.0cm的巨大肠息肉行内镜下高频电切前,在基底部先使用金属夹钳夹(治疗组),对77例直径1.0～3.0cm,蒂粗0.8～1.5cm的息肉行单纯高频圈套电切(对照组),观察两组高频电切治疗过程中创面有无渗血、涌血、喷血和治疗后出血、穿孔等情况。结果治疗组比对照组对组织损伤小,渗血、涌血、穿孔等并发症发生率均显著低于对照组(P<0.05)。结论内镜下金属夹联合高频电切序贯治疗宽蒂巨大肠息肉是一种简便、可行、有效及相对安全的方法。
Objective To evaluate the curative effects of metal clips combining with high-frequency electrosection in treating large, pedunculated colorectal polyps by endoscopy. Methods Colorectal polyps in 116 patients were excised with high-frequency electrosection. In 39 patients with the diameter of polyps being larger than 3.0 cm and the peduncle larger than 1.0 cm, the basals of the polyps （therapy group） were nipped with metal clips before high-frequency electrosection. Another 77 patients with the diameter of polyps being 1.0～3.0 cm, and the peduncle 0.8～1.5 cm （control group）, high-frequency electrotomy was performed only. The complications such as oozing, spurting in the location, hemorrhage, and perforation after treatment was observed. Results The bowel wall damage was significantly less in therapy group than those in control group （P 〈 0.05）. Conclusion Metal clips combining with high-frequency electrosection in treating large, pedunculated colorectal polyps by endoscopy was a simple, reliable, and safe method.
出处
《现代消化及介入诊疗》
2006年第2期71-73,共3页
Modern Interventional Diagnosis and Treatment in Gastroenterology
关键词
宽蒂巨大肠息肉
金属夹
高频电切
序贯治疗
Large colorectal polyps
Metal clips
High-frequency electrotomy
Sequential treatment
