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目的探讨内镜下尼龙绳联合高频电凝切除术的方法治疗消化道大息肉,并评价其安全性和疗效。方法通过内镜检查确诊的直径>20mm的消化道息肉(30枚),先行尼龙绳套扎,再行高频电凝切除;2周后内镜复查创面愈合情况。结果 30例中28例一次性套扎并切除成功,成功率为93.3%;2例无法套扎而改其他方法治疗。术中发生渗血2例,均微波止血成功,无大出血及穿孔病例。2周后复查发现22例创面完全愈合,4例创面处浅溃疡,2例创面仍有残留组织。结论内镜下尼龙绳联合高频电凝切除治疗消化道大息肉是一种疗效与安全兼顾的好方法 。
Objective To investigate the method of endoscopic nylon cord combined with high-frequency electrocoagulation for the treatment of digestive polyps, and to evaluate its safety and efficacy. Methods 30 cases of digestive tract polyp (> 20mm in diameter> 20mm) diagnosed by endoscopy were enrolled in this study. First, the nylon cord was ligated and then excised by high frequency electrocoagulation. The wounds were examined by endoscopy two weeks later. Results Totally 28 cases were successful ligation and successful resection in 30 cases, the success rate was 93.3%; 2 cases could not be lined and treated by other methods. Intraoperative bleeding occurred in 2 cases, both successful microwave hemostasis, no bleeding and perforation cases. Two weeks later, 22 cases of wounds healed completely, 4 cases of superficial ulcers on the wound surface, and 2 cases of residual wounds. Conclusion Endoscopic nylon cord combined with high frequency electrocoagulation resection of digestive tract polyps is a good method of both efficacy and safety.