结肠息肉是一种染色体显性遗传病,有癌变倾向。我们于1978年以来治疗3例,分别为12、13、14岁的女孩。术前均经钡气灌肠双重造影拍片,示结肠息肉。手术作法是在全结肠触诊后,将肝曲、脾曲韧带充分游离,根据具体情况,切开结肠,插入乙状结肠镜检查。3例均行右半结肠切除、乙状结肠切除、直肠粘膜剥脱、回肠横结肠端端吻合、降结肠经直肠肌鞘拖出。术后随访(最长4年,最短1年)见大便1～3次/日,成形无脓血。经钡灌肠检查,未见息肉,发育营养良好。讨论对结肠息肉病做全结肠、直肠切除,回肠永久性造瘘,虽能彻底切除病灶,但造瘘给病人带来很大痛苦。全结肠切除、回肠直肠吻合,术后定期做直肠镜检查,发现直肠息肉可行电灼切除,有癌变则及时行根治术。据Gingola报告用此术式直肠残留息肉可自行消失。其机制可能为:粪便pH较低,能抑制新生息肉并破坏原有息肉,结肠切除后消除了刺激息肉形成的因素及直肠血供减少,不利息肉生长。但此手术直肠残留的息肉,仍有一定比例发生癌变。Wolfsttin报告全结肠切除、直肠粘膜剥脱、回肠经直肠肌鞘拖出术,此手术可切除病变,不做回肠造瘘,但术后有肛门顽固性湿疹、严重腹泻等并发症。因此我 Colon polyps are a chromosomal dominant genetic disorder with a tendency to become cancerous. We have treated 3 patients since the beginning of 1978, namely girls of 12, 13 and 14 years of age. Before operation, they were photographed with double contrast radiographs of hernia enema, showing colon polyps. The operation method is to fully liberate the liver and spleen ligaments after palpation in the entire colon. According to the specific situation, the colon is opened and inserted into the sigmoidoscopy. All the 3 cases underwent right colon resection, sigmoid resection, rectal mucosa stripping, ileal transverse colon end-to-end anastomosis, descending colon through the rectus muscle sheath. After follow-up (up to 4 years, the shortest 1 year) see stool 1 ~ 3 times / day, the formation of no pus. After barium enema examination, there was no polyp, and the development and nutrition were good. To discuss the colonic and rectal resection of colon polyposis, permanent ileal fistula, although the lesion can be completely removed, but the fistula to the patient has brought great pain. All colonic resection, ileal rectal anastomosis, regular proctoscopy after surgery, found that the rectal polyps feasible electrocautery resection, there is a timely curettage radical surgery. According to Gingola’s report, residual polyps from the rectum on the rectum can disappear on their own. The mechanism may be: lower fecal pH, inhibition of neonatal polyps and destruction of the original polyp, elimination of factors that stimulate the formation of polyps after colon resection and reduced rectal blood supply, not interest meat growth. However, there is still a certain percentage of cancerous changes in the polyps that remain in the rectum after surgery. Wolfsttin reported a total colectomy, rectal mucosal exfoliation, and ileal transmucosal sheath pull-out surgery. This procedure can remove the lesions without ileostomy, but there are postoperative complications such as anal intractable eczema and severe diarrhea. so I