结肠镜下切除结肠巨大腺瘤性息肉42例临床分析

目的：探讨肠镜下切除结肠巨大腺瘤性息肉的临床疗效。方法：回顾性分析我院收治的42例结肠巨大腺瘤性息肉临床资料。结果：42例结肠镜下结肠巨大腺瘤性息肉均成功切除，治疗后无大出血、穿孔等并发症发生，3例术中出血，内镜下多点注射1：10000肾上腺素后，出血停止；1例患者在术后8h便血，结肠镜下予以止血夹夹闭创面后出血停止，1周后治愈出院。结论：结肠镜下切除结肠巨大腺瘤性息肉安全，无大出血、穿孔及死亡等并发症，值得临床应用推广。

Endoscopic Treatment of Colon Larger Adenomatous Polyps Clinical Observation of 42 Cases

Objective：To investigate the clinical effect of endoscopic treatment for colon larger adenomatous polyps. Methods：The clinical data of 42 cases of colon larger adenomatous polyps in our hospital were retrospec- tive analyzed. Results： All of the 42 cases of colon larger adenomatous polyps were successfully removed. There were no postoperative larger bleeding, perforation and other complications after surgery. 3 cases of bleeding colonic polyps happened in the surgery, the bleeding was stopped by injection with 1 ： 10 000 epinephrine, One patient in the postoperative 8 hours have blood in the stool and stopped by hemostat, the patients with colon polyps were cured after one week. Conclusions： Endoscopic treatment of colon larger adenomatous polyps has good clinical efficacy, no postoperative larger bleeding and perforation complications, which is worthy of clinical application.