大肠息肉高频电凝切129例临床分析

目的分析电子结肠镜下高频电凝切除大肠息肉的临床效果。方法对129例238枚电子肠镜检查中检出的大肠息肉患者的临床表现、内镜特点及病理资料以及高频电刀治疗结果进行总结和分析。结果50～69岁大肠息肉发病率较高(82.94%),息肉好发部位为直肠,占34.11%,病理类型以炎性息肉(32.56%)、增生性息肉(31.78%)和腺瘤性息肉(27.13%)常见。除9例腺癌转外科继续治疗外余120例均治愈,未发生严重并发症。结论电子结肠镜下高频电凝切除大肠息肉安全、疗效可靠,是治疗大肠息肉的最佳手段。

Clinical Analysis on 129 Cases of Colorectal Polyps Treated by High-Frequency Electrocoagulation

Objective] To analyze the clinical effects of colorectal polyps resected by high frequency electrocoagulation under electronic colonoscopy.Methods]Clinical manifestations, endoscopic characteristics, pathological data and treatment results of high-frequency electrotome in 129 patients with 238 colorectal polyps detected by electronic colonoscopy were summarized and analyzed.Results]The incidence of colorectal polyps was high in age group 50 to 69 （82.94%）. The predilection site of polyps was rectum, account for 34.11%. The main pathological types included inflammatory polyps （32.56%）, hyperplastic polyps （31.78%） and adenomatous polyps （27.13%）. Except 9 cases of adenocarcinoma transferred to the surgical department for continuing treatment, all of 120 patients were cured without serious complications.Conclusion]Resection of high frequency electrocoagulation under electronic colonoscopy for colorectal polyps is safety with reliable effect, and it is the best means for treatment of colorectal polyps.