摘要
[目的]探讨内镜下黏膜切除术(Endoscopic mucosal resection,EMR)治疗消化道无蒂及亚蒂息肉的安全性及效果。[方法]入选的154例胃肠道无蒂及亚蒂息肉的患者,均采用EMR方法进行镜下治疗,对所有不同部位的息肉标本均进行病理学检查。[结果]所有息肉均成功切除,术中2例出血,经电凝止血钳成功止血后予钛夹夹闭创面;无术后出血、穿孔等并发症,术后病理类型:炎性息肉48枚(11.32%)、增生性息肉74枚(17.45%)、腺瘤性息肉300枚(70.75%),腺瘤性息肉合并高级别上皮内瘤变2枚(0.47%);所有息肉均切除干净,复查无残留。[结论]EMR治疗消化道无蒂及亚蒂息肉是安全有效的,值得基层医院临床推广应用。
[Objective]To investigated the efficacy and safety of endoscopic mucosal resection（EMR）on non-or sub-pedicle polyps in the gastrointestinal tract. [Methods]From August 2015 to May 2017, totally 154 patients with non-or sub-pedicle polyps were enrolled into this study. The patients were treated by EMR and the polyp specimens were pathologically examined. [Results]All polyps were successfully resected,in which 2 cases had bleeding during the operation,and were successfully treated after electric coagulation hemostasis followed by titanium clip closure of wounds. No postoperative bleeding, perforation and other complications happened. The postoperative pathological types included： inflammatory polyps 74 （11.32%） ,hyperplastic polyps 300（70.75%） ,adenoma polyps 48（17.45%）and adenoma polyps with high grade intraepithelial neoplasia 2（0.47%）. [Conclusion]EMR is a safe and effective method for the treatment of the alimentary polyps, which is worth the clinical application.
出处
《临床消化病杂志》
2017年第6期354-356,共3页
Chinese Journal of Clinical Gastroenterology
关键词
消化道息肉
黏膜切除术
临床疗效
digestive tract polyps
endoscopic mucosal resection
treatment outcome
