175例结肠镜诊断和治疗结肠息肉的临床分析

发布时间：2018-08-04 12:27

【摘要】：目的分析结肠息肉大小及分布特点,探讨色素结肠镜对结肠良性息肉的诊断及氩离子体凝固术(APC)、高频电凝电切术、内镜黏膜切除术(EMR)和钛夹术治疗良性息肉的临床疗效。方法收集2015年12月-2016年6月在该院消化科住院行内镜及病理诊断为良性结肠息肉且行治疗的175例患者资料。结果通过普通内镜和染色内镜检查,结肠良性息肉以单发性息肉为多;结肠在多部位有多发息肉类型为多;左半结肠中的直肠和乙状结肠息肉数较多且息肉直径较小,右半结肠中的升结肠息肉较少且直径较大,色素内镜有助于微小息肉和小息肉的诊断,染色检查提高了结肠多发息肉的检出率。结论色素内镜可以提高息肉检出率,尤其是多发息肉检出率,减少漏诊率,有助于良性息肉的鉴别诊断;依据结肠单发和多发息肉结合息肉大小选择APC、高频电凝电切术或者EMR其中一种内镜治疗或联合2种内镜治疗方法,疗效明确、手术安全,以APC息肉切除术最常用。
[Abstract]:Objective to analyze the size and distribution of colonic polyps, and to investigate the clinical effect of colonic polyps treated by colonic colonoscopy, argon ionomer coagulation, (APC), high frequency electrocoagulation, endoscopic mucosal resection, (EMR) and titanium clip. Methods 175 cases of benign colonic polyps diagnosed by endoscopy and pathology were collected from December 2015 to June 2016. Results through common endoscopy and staining endoscopy, the benign polyps of colon were more than single polyps, the polyps of colon had more polyps in many parts, the number of polyps of rectum and sigmoid colon in left colon were more and the diameter of polyps was smaller. The polyps of ascending colon in the right hemicolon are smaller and larger in diameter. Pigment endoscopy is helpful for the diagnosis of micropolyps and small polyps. Staining can improve the detection rate of colonic polyps. Conclusion pigment endoscopy can improve the detection rate of polyps, especially the detection rate of multiple polyps, and reduce the rate of missed diagnosis, which is helpful to the differential diagnosis of benign polyps. According to the single and multiple polyps combined with the size of polyps, APC polyposis is the most commonly used method in the treatment of APC polyps.
【作者单位】：云南中医胃肠病医院消化科;新疆石河子市人民医院消化科;
【分类号】：R574.62

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