论文部分内容阅读
目的探讨双气囊内镜治疗小肠巨大息肉的安全性和可行性。方法回顾性分析解放军空军总医院应用双气囊内镜对小肠巨大息肉进行镜下切除的情况:包括息肉的大小、形状、病理、息肉切除方法及手术并发症等,并对患者的内镜随访情况和外科干预情况进行总结。结果共检出小肠巨大息肉488枚,成功切除442枚(直径20～30mm112枚,31～50mm280枚,>50mm50枚;最大者长径达80mm),术中出血47例(10.6%),术后出血4例(0.9%),并发穿孔2例(0.5%)。11例患者因息肉巨大无法镜下摘除转行外科手术治疗。结论谨慎使用双气囊内镜下息肉切除技术,可安全摘除绝大多数小肠巨大息肉。这项技术不仅节省了医疗费用,还可以有效避免因外科手术引起的术后并发症。
Objective To investigate the safety and feasibility of double balloon endoscopy in treating giant intestinal polyps. Methods A retrospective analysis of the PLA General Hospital using double balloon endoscopic microscopic polypectomy resection of the small intestine: including the size, shape, pathology, polyp resection and surgical complications, and the patient’s endoscopic follow-up And surgical intervention summary. Results A total of 488 giant polyps of the small intestine were detected, of which 442 were successfully resected (diameter 20-30mm112, 31-50mm280,> 50mm50; the largest diameter 80mm), intraoperative bleeding in 47 cases (10.6%), Bleeding in 4 cases (0.9%), complicated by perforation in 2 cases (0.5%). Eleven patients were unable to undergo microsurgical reconstructive surgery due to the huge polyp size. Conclusions Careful use of double balloon endoscopic polypectomy can safely remove the vast majority of large intestine polyps. This technology not only saves medical costs, but also can effectively avoid postoperative complications caused by surgery.