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目的:探讨内镜下安全有效地分片切除大肠无蒂大息肉的方法。方法:在内镜下用圈套器将无蒂大息肉分片电切摘除,必要时应用黏膜切除法。结果:对148例患者共162枚大肠无蒂大息肉采用该种治疗方法,病变直径均大于2cm,其中5例术中创面渗血,3例迟发性出血,予以止血夹闭合止血,其余患者均未发生相关并发症。术后病理4例示腺瘤癌变。所有患者复查1～5次后全部经内镜根治。结论:结肠镜下无蒂大息肉分片电切术是微创、安全、有效的治疗方法。
Objective: To explore a safe and effective method of endoscopic resection of large polyps without pedunculated polyps. Methods: In the endoscopic use of the snare pedicle polyp excision of pedicle, if necessary, the application of mucosal resection. Results: A total of 162 patients with 148 cases of large polyps pedicle diarrhea with this treatment method, the lesion diameter greater than 2cm, of which 5 cases of intraoperative bleeding in the hemorrhage, 3 cases of delayed bleeding, to stop the bleeding to stop bleeding, the rest of the patients No complications occurred. Postoperative pathology 4 cases of adenoma canceration. All patients were reviewed after all 1 to 5 times by endoscopic radical. Conclusion: The pedunculated polyps pedicle resection under colonoscopy is a minimally invasive, safe and effective treatment.