内镜下套扎治疗胃肠道隆起性病变(附67例分析)

目的 探讨内镜下尼龙绳套扎治疗宽基底或粗蒂胃肠道隆起性病变的疗效。方法 采用内镜下尼龙绳套扎法，对67例宽基底或粗蒂胃肠道隆起性病变进行套扎治疗。结果 67例71枚胃肠道宽基底或粗蒂隆起性病变均一次性套扎成功，15例同时加高频电切除；术后60例复查示49例隆起病变完全脱落消失(含已电凝切除者)，9例部分脱落，2例未脱落；7例失访。1例同时加高频电切后并创面小动脉出血。治愈、有效、无效率分别为81．7％(60／49)、15．0％(9／60)、3．3％(2／60)。结论 尼龙绳套扎法对宽基底或粗蒂胃肠道隆起性病变的治疗效果满意，是一种安全、有效、经济、操作简便的方法，值得推广。

Endoscopic therapy with endoloop for protuberant lesions in gastrointestinal tract (a review of 49 cases)

To evaluate the effectiveness of endoscopic therapy with endoloop for the protuberant lesions with thick pedide or broad base in the gastrointestinal tract. A total of 49 subjects with the protuberant lesions with thick pedide or broad base received the endoscopic therapy with endoloop. The endoscopic therapies with endoloop were carried out successfully for the 53 protuberant lesions with thick pedide or broad base in the 49 subjects. Twelve subjects were treated combining with high-frequency electroblation. Of the 45 subjects receiving the re-examination with endoscope after the therapy, 37 subjects were found that their protuberant lesions with thick pedide or broad base were removed completely, seven subjects were found that their protuberant lesions were partly removed, one subject was found that his protuberant lesions was not removed. One subject who also received the high-frequency electroblation was complicated with the arteriole bleeding at the transaction site. Of the 45 subjects, 37 subjects (82.2%) were cured, seven subjects (15.6%) were improved, one subject (2.2%) had no changes and four subjects failed to follow up. Conclusion] The endoscopic therapy with endoloop is effective in the treatment for the protuberant lesions with thick pedide or broad basein the gastrointestinal tract, which can be undertaken simply, safely, and economically.