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目的探讨内镜下选择不同方法治疗大肠息肉的临床疗效和安全性。方法应用电子结肠镜与相配套的器械设备,在内镜直视下摘除息肉。结果 128例经肠镜明确诊断的大肠息肉患者,共摘除息肉205枚,采用直接活检钳钳除治疗56枚,电凝烧灼治疗43枚,氩离子凝固术(APC)治疗67枚,圈套器高频电凝电切除治疗39枚,全部息肉均切除,其最主要并发症是出血、灼伤,给予镜下喷洒8%冰盐水去甲肾上腺素溶液、APC及金属钛夹夹闭治疗,止血成功。结论大肠息肉是临床常见病,一经发现应积极治疗,内镜下切除大肠息肉是目前治疗大肠息肉是一种简便、安全、微创、经济和有效的方法,适合基层医院推广和应用。
Objective To investigate the clinical efficacy and safety of different methods of endoscopic treatment of colorectal polyps. Methods The application of electronic colonoscopy and matching equipment, endoscopic removal of polyps under direct vision. Results A total of 128 colon polyps were enrolled in the study. Of the 128 patients with colon polyps diagnosed by colonoscopy, 56 were treated with direct biopsy forceps, 43 with electrocoagulation and cauterization, 67 with argon plasma coagulation (APC) Frequency coagulation therapy 39, all the polyps were resected, the main complication was bleeding, burns, give the mirror spray 8% ice saline norepinephrine solution, APC and metal titanium folder clamp treatment, hemostasis success. Conclusion Colorectal polyps is a common clinical disease. Once discovered, it should be actively treated. Endoscopic resection of colorectal polyps is a simple, safe, minimally invasive, economical and effective method for the treatment of colorectal polyps. It is suitable for the promotion and application of primary hospitals.