大肠腺瘤1083例临床分析

目的总结大肠腺瘤的临床特征,以探讨对大肠腺瘤的诊断和治疗.方法收集近5年来本院经全结肠镜检查检出的大肠腺瘤1083例,并对其临床资料,内镜特征、病理类型及治疗方法等进行统计分析.结果大肠腺瘤大小以＜1cm居多,主要分布在降乙结肠,67.6%为多发,1083例中发生癌变者23例,癌变率为2.1%.治疗手段主要有高频电切、EMR及手术.结论大肠腺瘤很常见,有恶变潜能,对其早期诊断和积极治疗,势必会降低大肠癌的发生率.

Clinical observation of 1083 patients with adenoma of large intestine

Objective To study the clinical character of adenoma of large intestine in order to explore the diagnosis and therapy.Methods 1083 cases with adenoma of large intestine that were all confirmed with colonoscope were analysed in statistical on clinical data,endoscope character,pathologic type and therapy method.Results Most adenoma of large intestine were less than 1cm.Adenoma of large intestine in descending colon and sigmoid colon was often observed.67.6% cases was multiple.23 cases were canceration.The canceration rate was 2.1%.High frequency therapy,EMR and operation were important treating methods.Conclusion The adenoma of large intestine was a common disease.It could be canceration.Early diagnosis and active therapy could decrease the rate of carcinoma of large intestine.