论文部分内容阅读
目的探讨结肠息肉的病变及电凝切息肉术一次适当增加摘除枚数及随访的必要性。方法应用高频电凝切、热活检钳一次钳除息肉１６枚～４５枚，电凝切摘除２１枚～６５枚，术后观察３ｄ～５ｄ，定期随访１ａ～３ａ。结果发现１例直径０．８ｃｍ绒毛状腺瘤恶变与腺瘤共存，２例管状腺瘤恶变，１４次摘除息肉２６７枚无大出血穿孔等并发症，第１年随访发现４例息肉１５枚，第２年随访发现３例息肉８枚，第３年随访阴性。结论纤结镜摘除息肉每次适当增加摘除枚数是安全可行的，息肉不管大小应争取早期摘除及全瘤病检，定期随访是必要的，以防止遗漏及再发。
Objective To investigate the lesions of colon polyps and the appropriate increase of the number of enucleation and the necessity of follow-up. Methods High-frequency electrocoagulation and thermal biopsy forceps were used to clamp polyps 16 to 45 at a time, and electrocoagulation was performed to remove 21 to 65 pieces. Postoperative observations were performed 3 days to 5 days, and regular follow-ups were performed 1a to 3 years. The results showed that 1 case of malignant villous adenoma with a diameter of 0.8cm coexisted with adenoma, 2 cases of tubular adenoma malignant, 267 excision of 267 polyps without major bleeding and other complications, 1 year follow-up found 4 cases of polyps, the first Two-year follow-up found 3 polyps in 8 cases, and the follow-up was negative in the 3rd year. Conclusions It is safe and feasible to remove the polyps with fiber endoscope every time it is appropriate to remove the polyps. If the polyps are small or large, we should strive for early enucleation and complete neoplasia. Regular follow-up is necessary to prevent omission and recurrence.